Article Archive

Ghosted by a Payer? Eight Ways to Restart the Negotiation

Why silence in a payer negotiation is usually logistical, not personal, and how to bring a counterpart back to the table

2026 Texas ACA Marketplace: What Actually Happened

Part two of two: how 2026 enrollment, premiums, and subsidies in Texas compared with what the rate filings predicted

2026 Texas ACA Premiums: What Each Insurer Filed

Part one of two: the 2026 individual market rate filings in Texas, carrier by carrier, with a focus on San Antonio's Rating Area 7

Your HFMA Membership Has a Gym Membership Problem

Why HFMA Enterprise Membership underdelivers when organizations pay for access without activating it, and the three moves that fix it

How Exposed Is Your Payer Relations Job to AI? Free Assessment

A free AI prompt that maps your healthcare finance role's exposure to AI and builds a plan to stay ahead of it

7 Terms to Get Right in Transplant Network Contracts

Seven terms to get right in transplant network agreements, from inclusion criteria and phased bundled payments to stop-loss and quality metrics

Using AI in Payer Contracting? Build the Sandbox First

Why a public-source contract negotiation playbook is the safest way to start using AI in payer contracting

The Contract You Signed Isn't the Contract You're Getting Paid On

Why administrative friction, not fee schedules, is the real managed care battlefield now

Withholding Data From a Payer Doesn't Protect Your Leverage

Five strategies for building real transparency into managed care payer-provider negotiations