A curated library for
healthcare operators.
I created this library to help organize news and best practices around the frameworks, research, and thinking I return to most when navigating growth, operations, and M&A across multi-site healthcare. Organized by function. Updated regularly.
I’m Paul Gruensfelder, a healthcare growth operator with 13+ years scaling patient acquisition, retention and reputation/branding programs across numerous healthcare organizations spanning hospital systems, medical groups and DSOs.
Work With Me ?Handpicked from the library.
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PwC Behind the Numbers 2027: Medical Cost Trend Hits 9%
Commercial medical cost trend is projected to reach 9% in 2027 — the highest in 17 years — according to PwC’s Behind the Numbers 2027…
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The Shadow Healthcare System: Patients Are Building Parallel Care Infrastructure
Patients have built a parallel healthcare infrastructure—virtual clinics, diagnostic tools, direct-pay platforms, and consumer health apps—driven by fragmented care experiences, opaque pricing, and limited specialist…
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2026 Most Trusted Health System Brands: Monigle Rankings of Consumer Trust
UT Health Austin tops Monigle’s 2026 ranking of the most trusted healthcare brands in the U.S., followed by Mayo Clinic, Emory Healthcare, and Johns Hopkins…
Find resources by practice area.
The full library, organized by original publication date.
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PwC Behind the Numbers 2027: Medical Cost Trend Hits 9%
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6 Health Systems Outsourcing Revenue Cycle Functions in 2026
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Fullspan Health Launches Healthline AI Companion for Verified Health Answers
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The Next Phase of Price Transparency: Why Medicare Advantage Should Be the Focus
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3 Investment Trends Shaping Behavioral Health Deals in 2026
I’ve spent most of my career helping healthcare systems and multi-site DSOs build patient acquisition programs, strengthen retention, and create the cross-functional alignment that makes growth stick.
What I find most interesting is how the biggest opportunities in this industry tend to live where departments connect. When patient access improves, care experiences get better, and teams work toward the same outcomes, growth follows naturally. And when healthcare organizations scale well, more people get high-quality care close to where they live. That’s always been the north star.
That belief is what shaped the PRS framework, an approach to building healthcare organizations genuinely poised for sustainable growth. This site is where I collect the research and thinking that informs it.
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