FRAMEWORK · SEPTEMBER 2026
The Decision Enterprise
A new operating model connecting trusted evidence, enterprise intelligence, workflows, and governance to improve how decisions are made.
IDEA · AUGUST 2026
Clinical Operations Are Becoming Financial Strategy
Why clinical operations are moving closer to the center of financial performance, enterprise strategy, and competitive advantage.
OPERATOR'S BRIEF · AUGUST 2026
What Q2 Earnings Tell Us About the Emerging Health Plan
What the quarter reveals about the structural pressures reshaping health plans—and the operating model beginning to emerge in response.
Latest Thinking
Strategic Frameworks
The Clinical-First Health Plan
Operating Model Transformation
The Economics of Healthcare Operations
Enterprise Capability Building
John G. Murtha
John G. Murtha writes and speaks about the future operating model of health plans. His work explores how clinical data, artificial intelligence, interoperability, enterprise governance, and organizational design are reshaping the way health plans make decisions and create value.
Drawing on executive leadership experience across health plans, healthcare technology, consulting, and operations, John focuses on the intersection of strategy and execution—where emerging industry trends become practical operating models that improve organizational performance.
His career has included executive leadership roles with InterSystems, IBM, VNSNY CHOICE Health Plans, Apollo Health Street, and Deloitte. He holds an MBA and an MPH from Columbia University and is a Doctor of Public Health (DrPH) candidate at George Washington University.
Through the Operator's Brief, essays, and strategic frameworks published here, John is building a permanent body of work intended to help health plan executives, boards, investors, and industry leaders better understand the forces shaping the next generation of healthcare organizations.
His work is grounded in a simple belief: the organizations that create the greatest competitive advantage in the coming decade will not simply collect more data or deploy more AI—they will become better at making trusted decisions, consistently, across the enterprise.
The Operator's Brief
Original thinking on the future operating model of health plans, delivered when a new edition is published.
Occasional essays and new frameworks may also be included.