Topic

Finance

530 articles

  1. The Market Forces Quietly Adding Thousands to Patient Bills

    Article Elisabeth Rosenthal

    This article examines how vertical integration in healthcare drives up costs and limits patient choice. It highlights examples of hospitals and insurers consolidating power, impacting affordability and care quality.

  2. The Culture of Your Healthcare Practice: Putting the Pieces Together

    Article Owen J. Dahl, MBA, FACHE, LSSMBB

    This article explores the role of organizational culture in healthcare, using Schein's framework to examine shared values, leadership by physicians, cultural styles, and strategies for sustainable success.

  3. Avoiding Malpractice Claims and Licensing Board Complaints

    Article Michael B. Spellman, PhD

    Malpractice claims and licensing complaints risk finances, morale, and reputation. Prevention includes compassionate care, clear communication, addressing concerns, and strong documentation to reduce disputes.

  4. Medical Staff Governance & Leadership

    Article Douglas A. Koekkoek, MD

    This article discusses hospital medical staff structures, emphasizing self-regulation, credentialing, privileging, and quality assurance. It explores peer review processes like FPPE/OPPE, professionalism policies, and...

  5. The Right Way to Deliver Bad Earnings News

    Article Dean Foust

    Leaders often assume that delaying bad financial news until an earnings announcement will soften the market’s reaction. Early disclosure won’t eliminate the harm entirely, but how the warning is delivered can influenc...

  6. Uninsured but Undaunted, a Surgical Patient Searched the Globe for a Deal

    Article Paula Andalo

    A 63-year-old uninsured patient shopped for affordable hernia surgery after receiving a $23,000 hospital quote. He paid $4,700 total, including travel, by opting for an outpatient center in Maryland, saving thousands.

  7. Rethinking Reform: Ken Terry on Primary Care, Cost, and the Future of U.S. Healthcare

    Article Ken Terry, Michael J. Sacopulos, JD

    Ken Terry talks with Mike Sacopulos about primary care, healthcare costs, and practical reform ideas from his new book, Beyond Medicare for All. They provide insight into how physician-led care and new payment models ...

  8. Medicare’s AI Push Snarls Patients and Doctors in Errors and Delays

    Article Darius Tahir

    A new Medicare pilot program called WISeR, aimed at reducing fraud and misuse through AI-driven prior authorization, is causing delays, errors, and frustration for patients and doctors.

  9. Trouble Getting Weight Loss Drugs Covered by Insurance? Here’s What To Know

    Article Sydney Lupkin

    A caregiver lost insurance coverage for Zepbound, a GLP-1 obesity drug. She faced hurdles navigating appeals, discounts, and alternative options to access the medication.

  10. Managers Are Struggling to Keep Up with the AI Productivity Boom

    Article Liz Fosslien, Mollie West Duffy

    AI has dramatically accelerated the pace of work, allowing employees to execute ideas, produce deliverables, and launch projects far faster than traditional management systems were designed to handle. As a result, man...

  11. The Magic of Shared Storytelling

    Article Jordan Grumet, MD

    Narrative medicine emphasizes storytelling to bridge gaps between doctors and patients, fostering empathy and humane care. Pioneered by Rita Charon, it humanizes healthcare through shared narratives.

  12. The Market for Physician-Researchers’ Labor: Unpaid Work, Paid Access

    PLJ July/August 2026 Arthur Lazarus, MD, MBA, CPE, DFAAPL

    Academic publishing drives medical progress but relies on unpaid physician-researchers while imposing financial barriers and limiting access. This article critiques systemic flaws and proposes ethical reforms.

  13. The Power of Strategic Centering

    Article Rita McGrath

    In a dematerializing economy—where value has shifted from physical assets to intangibles such as data, software, and capabilities—traditional strategy frameworks no longer provide enough guidance. Organizations need a...

  14. The Physician Leader’s Guide to Affiliation Options

    Article Max Reiboldt, CPA, MBA

    The Physician Leader’s Guide to Affiliation Options explores evolving physician affiliation models, including private equity, PSAs, employment, mergers, and payer partnerships. It offers strategies, updates, and insig...

  15. Follow the Money: A Health Plan Insider’s Guide to Payer–Provider Contracting

    Article Jacob Asher, MD

    In this conversation, Jacob Asher, MD, demystifies payer–provider contracting, explains who really holds pricing power in the negotiating room, and makes the case that understanding “the circle of money” is the prereq...

  16. The Intersection of Technology and Women

    HALMJ May/June 2026 Telle Whitney, PhD

    Dr. Telle Whitney's journey in tech highlights her advocacy for women in STEM, founding impactful programs like Grace Hopper Celebration to drive diversity and inclusion.

  17. The Reform Nobody's Talking About: Universal Healthcare Without Single Payer

    Article Ken Terry

    A proposed healthcare model balances universal access and existing structures by separating basic care from major medical coverage. It realigns financial incentives to reduce costs and improve outcomes.

  18. The CEO of UnitedHealthcare on Fixing What Frustrates Customers Most

    Article Tim Noel

    Several years ago UnitedHealthcare launched a Consumer Resolution Center that combines AI insights with human judgment to proactively identify customers in distress and empower skilled employees to resolve their probl...

  19. Driving Value-Based Care by Putting Patients First

    Article Pamela C. Sullivan, MD, MBA, CPE, FACP, FCUCM, PT, Michael J. Sacopulos, JD

    Pamela Sullivan, MD, MBA, CPE, transitioned from physical therapy to emergency medicine and urgent care leadership, now excelling in value-based care. She leads P3 Health Partners' High-Risk Programs, focusing on pati...

  20. Resuscitating Healthcare: 80 Years of Federal Laws, Financing, and Future Forecast

    PLJ May/June 2026 Naakesh Dewan, MD, CPE, DLFAPA, FASAM

    This analysis traces U.S. healthcare policy from the 1798 Marine Hospital Act to today's value-based care, highlighting key laws like Medicare and Medicaid. It explores spending growth and future sustainability challe...

  21. Perceptions of Private Equity in Private Practice: Insights from Ophthalmology

    PLJ May/June 2026 Arya M. Prasad, BA, Rama R. Bikkina, BA, Jay M. Lustbader, MD

    Private equity (PE) has grown in private practice medicine, impacting ophthalmology. Interviews revealed mixed views on PE’s influence on clinical autonomy, care quality, patient costs, and operational sustainability.

  22. Healthcare Insights: Curated for HALM May/June 2026

    HALMJ May/June 2026 AAPL Editorial Team

    Healthcare Insights: Curated for HALM May/June 2026

  23. What Companies Can Learn from Their Biggest Fans

    Article Marcus Buckingham

    Despite decades of effort by companies to boost engagement and loyalty, employee trust and customer commitment continue to decline. Most organizations try to fix deficiencies or incrementally raise satisfaction levels...

  24. Will Your Investors Support Your Strategic Pivot?

    Article Mark DesJardine, Wei Shi

    Strategic pivots often fail—not because of poor ideas or execution but because companies misjudge how attached investors are to their existing strategy. Firms actively cultivate shareholders who are aligned with a par...

  25. ‘Kind of Morbid’: Health Premiums Threaten Their Nest Egg. A Terminal Diagnosis May Spare It.

    Article Christine Mai-Duc

    Unexpected health challenges and changes in policy can drastically impact financial stability, underscoring the importance of accessible healthcare and long-term financial planning.

  26. How AI Is Upending How Consulting Firms Hire Talent

    Article Atta Tarki, Joseph Raczynski

    AI is dismantling the traditional hiring model of professional services firms, which relied on large classes of junior associates to supply a handful of future partners. With entry-level roles shrinking, firms must sh...

  27. Cybersecurity Concerns and Protocols for Medical Nonprofits

    Article Matt Paprocki, JD, CFA, CFP®

    Medical nonprofits face cybersecurity risks with sensitive financial and stakeholder data. Protective measures include MFA, training, account monitoring, and clear protocols.

  28. The Perfect Storm: Navigating Economic Challenges in Modern Medical Practice

    HALMJ March/April 2026 Ron Howrigon

    Medical practices face economic strain from declining reimbursements, rising costs, physician burnout, and shortages, requiring strategic business optimization.

  29. The Map of U.S. Prosperity Is Changing. Here’s Where Companies Should Invest.

    Article Jaymes Cloninger, Bradley Schurman

    In today’s era defined by demographic scarcity and environmental volatility, geography is no longer a backdrop for strategy. It directly shapes resilience, cost structure, and long-term value creation. A place-based f...

  30. What CEOs Need to Know About the Costs of Adopting Generative AI

    Article Hugo Huang

    Hugo Huang discusses the challenges CEOs face when adopting generative AI, including unpredictable costs, infrastructure bottlenecks, workforce shifts, and ethical concerns. He emphasizes lifecycle planning, cost dash...

  31. How to Avoid a False Start When You’re Leading a Big Change

    Article Timothy R. Clark

    Many leaders believe the greatest risk in change is moving too slowly. That’s often true. For the times it’s not true, the greatest risk is moving before the organization is ready to move with you. A false start doesn...

  32. Healthcare Insights: Curated for HALM March/April 2026

    HALMJ March/April 2026 AAPL Editorial Team

    Healthcare Insights: Curated for HALM March/April 2026

  33. Research Roundup: Salary Disparities, Managers Who Squash Ideas, Exclamation Points, and More

    Article Harvard Business Review

    Staying on top of cutting-edge research can give leaders and their companies an edge. This roundup, adapted from HBR’s March–April issue, provides insight into topics such as pursuing goals effectively, the real reaso...

  34. Certified Physician Executive (CPE)

    Article Pamela C. Sullivan, MD, MBA, CPE, FACP, FCUCM, PT

    The Certified Physician Executive (CPE) by AAPL enhances leadership skills for physicians through a flexible, self-paced program, complementing MBA knowledge.

  35. What to Do When Your Senior Role Feels Totally Unsustainable

    Article Darcy Eikenberg, PCC, Tony Martignetti

    Many senior leaders are quietly reaching the same conclusion: the top jobs they’ve spent decades working toward no longer feel sustainable. In recent years, the go-to advice for addressing executive burnout has been t...

  36. Why Big Companies Struggle to Negotiate Great Deals

    Article Danny Ertel

    Enterprise negotiations often falter not because the negotiators lack skill but because they’re constrained by two structural problems: agency and alignment. Frontline negotiators are typically incentivized to close d...

  37. MedPac Finds the Hospital Industry is on a More Stable Financial Footing Now

    Article Nick Hut

    Hospitals do not need a Medicare payment boost for 2027 beyond the update to be provided in the statutory formula, MedPAC says.

  38. Solving Healthcare’s Math Problem

    HALMJ January/February 2026 Douglas A. Koekkoek, MD

    The U.S. healthcare system faces financial strain from rising costs, an aging population, and inefficiencies. Seven transformative strategies are proposed to ensure sustainability.

  39. Lessons Learned from the Restaurant Industry: What Outstanding Waiters and Waitresses Can Teach the Medical Profession

    HALMJ January/February 2026 Neil Baum, MD, Jeff J. Segal, MD, FACS

    Applying restaurant service principles in healthcare—personalized communication, trust-building, and accountability—can enhance patient experiences and loyalty.

  40. Marketing at the Speed of Culture

    Article Ayelet Israeli, Leonard A. Schlesinger, Matt Higgins, Ryan Reynolds

    In today’s hyperconnected world, the public conversation moves quickly, and traditional advertising cycles can’t keep up. Fastvertising—rapid-response, culturally relevant ads—offers brands a way to not only capture a...

  41. The New Tools That Can Improve Workforce Training

    Article Paola Cecchi-Dimeglio

    Companies are pouring money into AI but failing to translate that investment into workforce capability, largely because traditional training methods don’t help employees retain or apply complex skills. Extended realit...

  42. The HALM (Healthcare Administration, Leadership, and Management) Credential and New Textbook

    HALMJ January/February 2026 Daniel A. Handel, MD, MBA, MPH, Michael J. Sacopulos, JD

    Dr. Daniel A. Handel shares his path from emergency medicine to healthcare leadership, focusing on HALM education, physician leadership, and system-wide care improvement.

  43. After Shutdown, Federal Employees Face New Uncertainty: Affording Health Insurance

    Article Phil Galewitz

    Federal retirees face steep premium hikes in the FEHB program, with rising costs driven by aging demographics, drug prices, hospital consolidation, and limited plan-switching.

  44. Complaints About Gaps in Medicare Advantage Networks Are Common. Federal Enforcement Is Rare.

    Article Susan Jaffe

    Medicare Advantage plans often face network adequacy violations, risking patient access to care. CMS enforcement is lax, leaving millions vulnerable to disruptions.

  45. When Supply Chains Become Autonomous

    Article Carol Long, David Simchi-Levi, Andre P. Calmon, Flavio P. Calmon

    A testbed built around one of management education’s most enduring simulations, the MIT Beer Distribution Game, has shown that the latest generation of generative AI models can now autonomously manage supply chains. S...

  46. They Need a Ventilator To Stay Alive. Getting One Can Be a Nightmare.

    Article Jordan Rau

    Patients reliant on ventilators face significant barriers in the U.S., from insurance hurdles to limited specialized care options, highlighting systemic healthcare gaps.

  47. How Leaders Can Help Their Staff Navigate Ambiguity

    Article Jill Geisler

    Leaders face growing ambiguity, requiring optimism, realism, and action. Build resilience, strengthen connections, and foster hope to guide teams through uncertainty.

  48. Super Groups: A Strategy for Sustaining Physician Autonomy

    HALMJ January/February 2026 Kelly Raffel, MBA

    Private practices face economic, administrative, and regulatory pressures, driving consolidation. "Super groups" offer autonomy while leveraging consolidation benefits.

  49. Healthcare Insights: Curated for HALM January/February 2026

    HALMJ January/February 2026 AAPL Editorial Team

    Healthcare Insights: Curated for HALM January/February 2026

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