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Most-Favored-Nation Drug Pricing: What Medicaid Payers Need to Know
Prescription drug costs remain one of the most difficult expenses for Medicaid payers to forecast and manage. As federal policymakers explore most-favored-nation drug pricing, health plan executives need to understand…
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Medical Loss Ratio Rebates: What $759 Million Means for Payers
Health insurers are expected to return approximately $759 million in medical loss ratio rebates to individuals and employers in 2026. For payers, the number represents more than a regulatory obligation.…
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Healthy Aging Month: Why Provider Network Contracting Matters for Payers
September is Healthy Aging Month, an annual observance that encourages adults age 45 and older to take a more active role in their physical, mental, social, and financial well-being. For…
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Modernizing Provider Network Contracting
PwC’s report, The Future of the Healthcare Payer, makes one thing clear: health care plans must deliver greater value with fewer resources and at an unprecedented pace. But legacy administrative…
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Integrating Virtual Care: Strategic Imperatives for Provider Network Contracting
Virtual care has transitioned from a temporary clinical alternative into a permanent pillar of health system infrastructure. According to the Telehealth benchmark survey results, Virtual Care in 2025: Hospitals Look…
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TOG Network Solutions July – August 2026 Digital Content
August 1 is recognized as World Lung Cancer Day, an observance that highlights clinical advancements while underscoring a critical financial challenge for health care executives. Lung cancer remains one of…
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