TOG Blog

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Behavioral Health Strategy: Navigating the Financial Risk of Ghost Networks

April is recognized as both Counseling Awareness Month and Stress Awareness Month. While these observances provide a clinical focus on mental wellness, they also present a critical strategic window for…

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Navigating the Payer Landscape: Strategic Insights from the J.P. Morgan Business Leaders Outlook

The sentiment among health care executives is shifting from reactive uncertainty to proactive, data-driven planning. This mirrors broader national trends identified in the J.P. Morgan 2026 Business Leaders Outlook, which…

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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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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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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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