What happens when health insurers report less often? When President Trump revived his call for U.S. companies to move from quarterly to biannual earnings reporting, the headlines practically wrote themselves. Wall Street worried that fewer updates would make the markets less transparent. Others cheered at the thought of freeing executives from the tyranny of the ninety-day countdown.  But in healthcare, and especially among publicly traded insurers like UnitedHealth Group, Hu

By the third day of HLTH in Las Vegas, I realized something that’s hard to admit out loud. Payers aren’t allergic to innovation. They’ve just outgrown the hype. In my conversations with leaders from Humana, UPMC, Avalon, and HealthWorks, the tone felt different from the scripted, panel-stage optimism that fills the expo hall.  Gone were the catchphrases about “meeting members where they are” or “harnessing the power of AI.” Behind closed doors, the tone was sharper, more disc

Authors: Demi Radeva, Clem Foltz Pricing healthcare technology isn’t just about covering costs or chasing growth. Beneath the spreadsheets and projections, it’s really a question of credibility. For payers and managed care organizations (MCOs), every vendor pitch is scrutinized through the lens of medical loss ratios (MLR), total cost of care, and quality outcomes. If your pricing model doesn’t align with that world, you’ll struggle to gain traction, no matter how brilliant y

By Akros Advisory in collaboration with HTEC Group The New Frontier for Payers At HLTH 2025, Akros Advisory and HTEC Group convened two closed-door lunches for payer, provider, and technology leaders. One explored Pain Points to Performance ; the other unpacked AI, Quality, and Care Management. Across both rooms, the message was clear: Payers are no longer just financial intermediaries. They are becoming system designers. This shift requires a new mindset. Technology isn’t ju

In the early days of any digital health launch, there’s a question that hovers in every investor meeting and payer conversation: How will this be paid for? Traditional reimbursement pathways often don’t exist for novel solutions—no billing code, no defined payment mechanism, no clear precedent. But that doesn’t mean there’s no path forward. Increasingly, startups are plugging into payer programmatic spend : discretionary budgets allocated to priority areas like maternal healt

In healthcare, choosing between “payer” and “payor” goes beyond your preference of vowel. At first glance, they seem completely...

83M Americans. A $918B Opportunity. Are You Building for It? For startups, this is a costly opportunity to deliver scalable, high-impact...

In today’s tough funding climate, only a handful of digital health companies are making it to the public markets. Among them, Hinge...

One of the most important (and most uncomfortable) questions a healthcare founder can ask is this:  Are we a services company using tech...

We all want leverage. We’re all looking for the next tool, the next integration, the next AI plugin that’s finally going to unlock...

Since “point solution fatigue” is now the go-to excuse for rejection, startups need to proactively counter it. Read to find out how. ...

When I joined my first startup accelerator, I thought I was getting a blueprint for success—access to top investors, world-class...

In today's evolving landscape, non-profits are increasingly recognizing the value of incorporating for-profit structures into their...

When it comes to payer executive leadership, reports aren’t just about presenting data—they’re about driving decisions. Yet, many...

For many startups, joining an accelerator feels like a golden ticket—access to mentors, investors, and a structured program that promises...

Payer executives rely on dashboards to track performance, identify issues, and drive strategic decisions in real time. Yet, many...

For non-profits considering a for-profit spin-off, one of the biggest strategic advantages is the ability to leverage shared capabilities...

As the population of adults aged 65 and older continues to grow, the demand for cost-effective, high-quality senior care has never been...

I often get asked, “What’s an innovation in healthcare reimbursement that you’re genuinely excited about?” For me, the answer is simple:...

To help a digital health startup scale its virtual triage tool in the U.S. market, Akros Advisory delivered a comprehensive GTM playbook....