A Paradime Health Publication
PTT

Peaks, Troughs & Trends

The pulse of healthcare markets, policy, and innovation.

Weekly strategic intelligence for healthcare executives, investors, and operators. The signals that matter — curated, analyzed, delivered.

Subscribe Free →

What's Inside

Peaks

What's accelerating — funding, adoption, policy tailwinds, and market momentum shaping competitive advantage.

Troughs

What's slowing or breaking — workforce strain, reimbursement pressure, regulatory drag, and systemic risk.

Trends

What's quietly reshaping the landscape — emerging shifts to position around before they're consensus.

Latest Edition

The Middle Is Getting Squeezed

February 6, 2026 · First Edition

PBM reform targets middlemen. Hospital consolidation eliminates independents. AI reimbursement battles pit providers against payers. The organizations thriving in 2026 won't be the biggest — they'll be the ones with the shortest distance between value creation and value capture.

  • PBM reform signed into law — most significant accountability legislation in a generation
  • Payers accelerating AI deployment after years of cautious testing
  • ACA enrollment slides backward as subsidies expire
  • Health systems building their own Medicare Advantage plans
Read Full Edition →
Issue No. 1

Archive

February 6, 2026

The Middle Is Getting Squeezed

PBM reform, hospital consolidation, and why the shortest distance wins.

Read Edition →

Get PTT Weekly

Join healthcare executives, investors, and operators who start their week with strategic intelligence that matters.

Subscribe Free →