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Executive Briefing | November 30, 2021

Data to the People, by the People, for the People

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Health plans are undergoing a transformation as they evolve their capabilities and business models to not only use data in new and innovative ways, but also cope with the increasing volume, variety and velocity of data. Given the impact COVID-19…

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Executive Briefing | November 16, 2021

OTC – A MISSED OPPORTUNITY FOR MEMBER ENGAGEMENT

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Over-the-counter (OTC) benefits have historically been used by health plans primarily as a marketing tool as well as a benefit for Medicare Advantage (MA) offerings, with value focused on member acquisition. However, as competitive dynamics in the MA market abound,…

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Executive Briefing | November 2, 2021

Value Transformation in Specialty Care

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Section I: Introduction Over the past decade, the value movement in healthcare has grown and evolved. Driven by the development and adoption of primary care-led models (e.g., patient-centered medical homes, accountable care organizations or ACOs), payers have experienced a significant…

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Executive Briefing | February 9, 2021

Racial Disparities in Healthcare: A Call to Action

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Reflecting on the significant events of 2020, most notably, heightened racial unrest and the unequal impact of COVID-19, we have a unique and time-sensitive opportunity to address the reality that racial disparities exist in our country. Racial disparities permeate across…

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Executive Briefing | January 26, 2021

2021 Health Plan Priorities: Pressing Past the Pandemic

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2020 has redefined healthcare in a way no one could have predicted. The US healthcare system finds itself looking at an uncertain future in which healthcare, namely COVID-19, has manifested itself in nearly every aspect of life. The impact of…

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Executive Briefing | December 16, 2020

Provider Data Management: A Longstanding Problem – Amplified in 2020 and Beyond

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YOUR PROVIDER DATA QUALITY PROBLEM MAY BE BIGGER THAN YOU THINK… AND IT COULD BE GETTING WORSE Under normal circumstances, inaccurate provider data presents significant operational and financial challenges for health plans. In 2020, these problems have been exacerbated across…

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Executive Briefing | November 19, 2020

Medicare Advantage Dental – Does the Future Look Like the Past?

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Medicare Advantage (MA)—an alternative to traditional Medicare which allows seniors to receive Part A and B benefits through private insurance—is more popular than ever. As of 2019, over one-third of all Medicare beneficiaries are enrolled in an MA plan and…

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Article | November 11, 2020

Healthcare Cost Transparency: The Guessing Game is Over

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In June 2019, the Trump administration issued an Executive Order (EO) that directed the U.S. Department of Health and Human Services (HHS) to propose regulations that enhance the ability for patients to shop for healthcare services. As directed by the…

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Executive Briefing | October 13, 2020

Millennials in Health: The Case for Personalized Healthcare

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Millennials’ influence on hospitality, travel, wellness, food delivery, transportation, fitness classes and retail has created a paradigm shift in how organizations do business with their consumers. Comparatively, millennials’ impact on healthcare has lagged other industries as youth generally correlates with lower…

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Executive Briefing | August 4, 2020

HMOs: An Emerging Competitive Front in a Post-COVID World

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As the world collectively addresses the COVID-19 crisis, we believe it is important for healthcare leaders to understand and plan for longer-term changes to the industry. In this Executive Brief, we will discuss our perspectives on how the economic environment…

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