Portfolio

You Don't Have a Contract Portfolio. You Have a Pile.

The payer contracts were never the asset. What they add up to is the asset, and until somebody does the math, you're just managing a very well-organized pile of documents.

Walking Away Isn't a Strategy. It's What You Do Without One.

When the only remedy available is contract termination, that is what gets used. Not because it is right, but because it is the only thing left in the drawer.

The Hidden Cost of Winning the Rate (MGMA Insights Podcast)

MGMA Insights Podcast - Daniel Williams, Senior Editor & Host

Your Contracts Are Intact. Your Patient Mix Isn't.

The agreements are signed. The rates are set. The population they were built for is gone.

A Mid-Contract Policy Change Isn't a Clinical Dispute

Why a mid-contract payer policy change is a contract performance issue, not a clinical dispute

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

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

Three Decades. Three Pillars. One System for Payer Strategy.

People, Portfolio, and Process, the proven framework behind multi-billion-dollar payer portfolio results

The 20 Payer Contract Clauses That Put Providers Most at Risk

A practical checklist of the clauses that quietly tilt a payer contract against providers, and what to do about each one

Payer Contracts Should Pay for Social Needs, Not Just Diagnoses

Six ways to build Social Determinants of Health into payer contract language and payment structures

The Termination Clause Is the Most Overlooked Protection in a Payer Contract

Four types of termination provisions, what each one actually protects, and why the details matter more than most providers realize