H1 covers what you do in the next 90 days, before 2027 contracts and benefit renewals lock in last year's assumptions. H2 covers the capabilities you build over 12 to 24 months so the next payer or measurement shift does not catch you unprepared, and H3 names the three structural shifts your 3 to 5 year plan has to absorb.
Every week without a payer-mix model is a 2027 renewal priced on 2025 assumptions