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Justin Guerra

Justin Guerra is a Senior Vice President with Kaufman Hall and a member of the firm’s Treasury & Capital Markets Practice. He provides analytical, quantitative, and strategic support to nationwide not-for-profit hospitals and health systems, focusing on innovative treasury solutions.

expert

Alyssa Gottschalg

Alyssa Gottschalg is a Senior Vice President at Kaufman Hall and a member of the firm’s Treasury & Capital Markets practice. She provides analytical, quantitative, and strategic support, primarily for nationwide not-for-profit hospitals and health systems.

expert

Costs spike, coverage slips in ACA marketplace

Explore how rising ACA Marketplace premiums—driven by higher healthcare costs and expiring subsidies—are reducing affordability and leading to declining coverage rates nationwide.

Infographic

Gist Weekly: April 10, 2026

Budget request includes healthcare cuts, stricter vetting slows physician pipeline, insurers reduce prior auths

Brief

M&A quarterly activity report: Q1 2026

Explore Kaufman Hall’s Q1 2026 M&A report highlighting renewed hospital and health system deal activity, key trends, and how financial pressures, market uncertainty, and strategic partnerships are shaping healthcare consolidation.

Research Report

National Hospital Flash Report: February 2026 Data

Hospital financial performance is tenuous in early 2026. Hospital expenses remain elevated, while revenues are pressured by an eroding payer mix. Kaufman Hall's recent issue of the National Hospital Flash Report covers these and other key performance metrics.

Research Report

Tobacco use falls into single digits

Explore Kaufman Hall’s infographic on declining tobacco use, highlighting recent trends, key data points, and what falling single-digit usage means for public health and healthcare systems.

Infographic

Gist Weekly: April 3, 2026

CMS memo outlines expectations for hospital food and nutritional services, GLP-1 pill approved, new HHS/CMS advisory committee announced

Brief

From Every Angle: The fragile architecture of trust

Explore how trust shapes healthcare’s future—from responsible AI adoption and board governance to care coordination and supplier partnerships—and why building trust as a strategic discipline is essential for performance, sustainability and patient loyalty.

Article