We all feel it.  We all know it's there, but we often gloss over the tension that exists between payers and providers.  That's why we were excited to sit down with Steve Rowe, Healthcare Industry Lead at 3Pillar, to talk about this topic head on.  As a product development partner for both payers and providers, 3Pillar's Steve Rowe has a front row seat to what he appropriately describes as a natural tension that exists.  The reality is that health systems' revenues are the payers' expenses and that creates tension.  However, that is just the surface level description of why there is tension between payers and providers.