5,000 Physicians


$100 Million

negotiated increases

180 Years


“Our practice of 55 radiologists has proudly and successfully worked with Fulcrum Strategies for many years. Fulcrum has provided us with valuable insight into the mindset of payer process and payment methodology resulting in better understanding on both sides of the payer-provider equation.”

Robert E. Schaaf, MD

Managing Partner, Wake Radiology

“Integrity, competence, efficiency, professionalism, loyalty, accessibility. These are qualities that Ron Howrigon and his team project each day. It has been our good fortune to have Ron assist our OBGYN practice for nearly the past decade. You really can’t do much better than Ron and his staff. I’d give them six stars out of five."

Michael Smith, MD, Kamm McKenzie, OBGYN

COVID-19 taught us the good and bad of the U.S. healthcare system: what worked, what didn't, and how we can use this knowledge to improve.

Either side of the healthcare debate could work, but only if each addresses the fundamental issues causing the problem.

Dive into the key factors contributing to the rising cost of healthcare, and how they can be addressed.

clear 6x9 FINAL

Explore goals that we need to set to reduce the cost of healthcare and provide the level of care expected from the wealthiest nation in the world.

CLEAR! expands on Ron's first book, FLATLINING, by walking us through the key components of healthcare that are ripe for reform.

Healthcare spending accounts for nearly 20% of the U.S. economy. Ron's logical approach to healthcare reform is needed to change this unsustainable trajectory.

News and Media

Flatlining Podcast