Insights

Helping payer organizations strive for better

Executive Briefing

2025 strategic outlook: Five key areas to drive health plan success

Against the backdrop of vocal consumer scrutiny, expected policy changes, and constant innovation and disruption, we highlight where health plans can focus for success in 2025 and the future.

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Executive Briefing

No Suprises Act data through Q4 2024 highlights need for payers to rethink their strategy

New CMS data through December 2024 reveals a dramatic uptick in No Surprises Act disputes and in resulting reimbursements. We discuss the trends and share five steps for payers to effectively respond.

Executive Briefing

The hidden driver of peak performance: How operational excellence enables provider network transformation

We discuss five core capabilities of mature operations and key elements that drive organizations toward that maturity.

Executive Briefing

Medicare Advantage market growth slows amid intensified headwinds

The Medicare Advantage market is undergoing a period of correction after rapid growth in the early part of the decade. Last year showed the first signs of a tempering of this growth, and the cooldown continued into this year.

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Executive Briefing

Medicaid managed care trends: What health plans should know about potential impacts of policy from the new Trump Administration

Efforts to reduce Medicaid program costs are gaining momentum under the Trump Administration. We discuss potential policies, the financial impacts for health plans, and steps to navigate these changes.