Category: Provider Network

Two hands holding dice that read rent and own. Graphics symbolizing health care provider networks appear as a graphic overlay.

Own or Rent a Provider Network? Why Strategic Control Matters for Payers

A provider network is an operational asset that can influence medical expense, market competitiveness, and member experience. That is why payers must always have real-time data on how their contracts…

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Lemons, broccoli, and tomatoes are artfully displayed on a kitchen counter with a tape measure, glucose monitor, and a stethoscope. A round icon that reads Diabetes Awareness Month is displayed on the left.

National Diabetes Month: Why Provider Network Contracting Matters to Diabetes Care

November is National Diabetes Month, a time to bring greater attention to diabetes and the health problems it can cause. For health insurance payers, the observance also highlights a substantial…

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Elder female patient wearing a plaid shawl and a cream turtleneck holds a white prescription bottle while receiving a comforting hand on her left shoulder from a young female health care worker wearing blue scrubs.

What Payers Need to Know About the Future of Provider Networks

Where members receive care is changing, and health insurance payers may need to rethink how their provider networks are designed to keep pace. As more services move beyond traditional hospital…

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Digital screen with a man's hand touching the letters AI that are surrounded by digital icons indicating a network.

AI ROI and Provider Network Contracting: What Payers Should Measure

Artificial intelligence is rapidly moving from experimentation to enterprise investment across the health care industry. The next challenge for executives is proving that those investments are actually creating value. That…

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A healthcare professional uses a calculator while reviewing documents on a clipboard, with a tablet and laptop on the desk.

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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A healthcare professional wearing a stethoscope waves during a video consultation with an older woman on a laptop screen, in a bright office with plants by the window.

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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