Are you a provider considering taking risk on your Medicare Fee-for-Service population? As aggregator pitches, negotiations, and contracts ramp up, it's critical to understand what you’re signing up for.

In this quick-read guide, HSG outlines 10 key questions every provider should ask before entering into agreements with third-party aggregators. Whether you're new to value-based care or looking to strengthen your position, this checklist will help you make informed, strategic decisions that protect your organization and your patients.

On July 4, President Trump signed the One Big Beautiful Bill Act into law marking one of the most consequential shifts in Medicaid and federal health policy since passage of the Affordable Care Act. At HSG, we believe our clients deserve straightforward insights to help navigate complex changes. Here’s what the law means and how it could affect your operations and strategy.

On May 22, 2025, the U.S. House of Representatives passed the budget reconciliation bill needed to advance health policy proposals that focus on Medicaid. 

In a white paper entitled CMS Innovation Center Strategy to Make America Healthy Again, a blog post, and an exclusive interview to Modern Healthcare, new CMMI director Abe Sutton detailed the new strategic vision for CMMI under President Trump. HSG unpacks it all for you & shares our first reactions.

I recently returned from my annual Easter trip to England. While my work takes me to England multiple times yearly, I always make a special trip around Easter weekend. A key reason for the journey is HSG’s continuing sponsorship of FC United of Manchester football club.

Since 2019, HSG has sponsored the club’s team for people with disabilities. As part of our sponsorship, we always sponsor a match on Easter weekend. FC United is a non-profit, community-focused club that adds tremendous value to its community. We are thrilled to be part of the FC United family, and I love the opportunity to reconnect with the club and its supporters each Easter.

CMS recently announced that it will no longer allow states to use Designated State Health Programs (DSHP) as a source of state match in their 1115 Medicaid Waivers. There has been lots of chatter this past week about what this means for state Medicaid programs–unfortunately, there has also been a lot of hyperbole and misinformation. Today, I hope to provide some clarity and perspective on this important topic. 

As New York State leaders wind down the budget process, which helps set the state’s priorities for the next year, here are some big ideas HSG thinks those in power should consider as investments in New York State’s health care ecosystem, providing for greater access, quality, and outcomes for all New Yorkers.

In the first announcement from the Trump-Vance administration regarding value-based payment models out of CMMI, a number of models have been cut short and will sunset by year’s end. Read more about what we can interpret in these early tea leaves and what the impacts hold for both those participating in the models and the broader health ecosystem.