Regional not-for-profit health plans face mounting losses and limited runway. Our analysis shows leaders must act now by pursuing bold turnarounds, mergers, or affiliations to secure their future.
The impending cuts to Medicaid funding will pull at the fabric of US communities, health systems, and payers. But strategic collaboration could help mend—or even prevent—some of the anticipated tears.
Health plans that implement VBC programs with clarity and operate with a P&L mindset will drive sustainable profitability—extracting value for members, providers, and their organization.
