How the ACA Subsidy Lapse Impacts Provider Network Revenue and Stability
The U.S. House of Representatives recently passed a health care package that does not include an extension for enhanced Affordable Care Act (ACA) subsidies. For health care executives managing provider…
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GLP-1 Demand: How Health Care Network Strategy Addresses New Cost and Capacity
eHealth recently released a survey finding that 33% of Americans intend to begin taking GLP-1 medications for weight loss when discounted pricing becomes available in 2026. This impending demand is…
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Should You Own or Rent Your Provider Network?
For executives managing provider networks, this is not just an operational question. It's a critical financial risk that impacts your MLR and compliance. Renting a network often comes with costly…
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Transforming Chronic Disease Management from Cost Risk to Strategic Advantage
November is recognized as Diabetes Awareness Month, a critical reminder of the pervasive health challenges and associated financial burdens facing every payer. For executives managing provider networks, chronic conditions like…
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Maximize Profitability with Network Intelligence
Is your complex network spend bleeding dollars from your health plan's bottom line? For health plan executives, achieving predictable profits and MLR improvement requires a network that is both adequate…
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Rural America: The Ultimate Stress Test for Your Network Strategy
For health plan executives managing provider networks, conversations about rural health care often center on scarcity, ranging from hospital closures, workforce shortages, to long drives for patients. This framing unfairly…
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