Payers | Healthcare Brew

Innovation, Alternatives, & Emerging Models

Payer Landscape & Market Dynamics

Payer-Led Care Delivery & Population Health

Payment Reimbursement Models

Utilization Management & Prior Authorization

Hands over a crystal ball with dollar sign

Payers reflect on the first half of 2026

It’s been a busy H1!

Caroline Catherman

Photo collage showing a doctor with their arms folded leaning against a business person with their arms folded, against a purplish periwinkle backdrop.

How cutting deals with employers saves health systems money

Frustrated by increasing insurer friction, health systems are cutting out the middlemen.

Caroline Catherman, Courtney Vinopal

Two hands reaching for a disappearing Medicare Advantage card

Medicare Advantage organizations are denying some post-acute care at high rates

Medicare Advantage’s prior authorization process is still a “Wild West,” one expert says.

Caroline Catherman

Gyde CEO Will Johnson on how health insurance brokers can benefit from AI

Could AI could be a life raft for brokers drowning in advisory work?

Caroline Catherman

Photo collage showing a close crop on health insurance forms on the left, and a generic hospital building on the right.

Why some provider-sponsored health plans weren’t as successful as expected

Several health systems are dropping their insurance arms due to lackluster financial performances.

Caroline Catherman, Cassie McGrath

Medicare card hooked on a fishing hook

What does Medicare and Medicaid fraud actually look like?

Fraud exists, but experts say it’s not as rampant as the Trump administration claims.

Close up of a gavel wearing a stethoscope.

The missing piece in prior authorization reform? Providers, some argue.

Prior auth reform is being, well, reformed.

Caroline Catherman