We are living in unprecedented times. One of the LinkedIn posts that struck me most this week was shared via Chris Ellis, CEO of Thatch, a company in the ICHRA space, which described three “tectonic shifts” in the healthcare industry that are occurring all at once. Ellis kicked off the piece by describing how he had taken a call with an executive from a large health plan who described this period as “the most destabilizing he’d seen in his career.” The post is worth reading in full, as it describes the impacts of inflation, massive pullbacks in government spending, and challenges that small business owners face across the country.