Shawn Fitzgibbon, Managing Director, BDC Advisors Health insurance markets are changing in ways that directly affect health system margins, revenue predictability, and patient access. Payers are exiting markets, narrowing product offerings, and adjusting strategies across Medicaid, Medicare Advantage, and ACA exchange plans. For CEOs and CFOs, these shifts are no longer simply managed care issues. They are enterprise financial risks that require a market-specific response bef

Alexandra Criscione, Director, BDC Advisors If you are a health system CFO, you are likely being asked a harder question than you were five years ago. Not simply: “Can we get the payer renewal done?” But: “Will this renewal sustain the enterprise?” That is a different question. And it requires a different way of thinking. For years, traditional renewal strategies assumed a relatively stable environment: predictable labor costs, manageable inflation, modest annual rate movemen