TOG Blog

Young female doctor wearing a white coat helps an elderly female patient with her walker.

Navigating the Managed Medicaid Margin Crisis

For years, managed Medicaid was a reliable engine of growth and profitability for the nation’s largest health care insurers. However, a significant shift in the landscape has transformed the segment…

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Patient holds paper cutouts of kidneys indicating their location in the abdominal area.

Managing the High-Cost Burden of Chronic Renal Care

Managing the High-Cost Burden of Chronic Renal Care March is recognized as National Kidney Month, with World Kidney Day observed on March 13. While these observances focus on clinical awareness…

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Business man pouring over charts and working on a calculator.

Managing Margin Pressure: CMS Proposes Nearly Flat 2027 Medicare Advantage Rates

The Centers for Medicare and Medicaid Services (CMS) has released the 2027 Advance Notice for Medicare Advantage and Part D, proposing a base rate increase of 0.16%. While CMS projects…

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Title slide from webinar featuring a professionally dressed woman in a beige vest.

How Health Care Plans Move Provider Networks from Compliance to Strategic Profitability

The provider network represents the single greatest component of total medical expense for managed care organizations. However, for many executives, network management remains a reactive, fragmented process focused primarily on…

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Health care provider with a stethoscope and red paper heart coming out of their pocket to represent American Heart Health Month.

Cardiovascular Disease Management: How Network Intelligence Protects Payer Margins During American Heart Month

BY TOG Network Solutions | Feb 02, 2026 |

Is cardiovascular disease a clinical priority or a financial risk for your health plan? In a market where heart disease remains a leading driver of high-cost claims and MLR instability,…

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Frustrated doctor throws two papers up in the air.

TOG Provides Contract Negotiation Support for Health Care Providers

TOG Offers Unmatched Health Care Provider Reimbursement Analysis Success in contract negotiations with payers or health insurers often depends on access to verified data. Many health care providers enter these…

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