TOG Blog

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…

Read More
Female doctor with shoulder length curly brown hair wearing a white lab coat sits at table with female patient to review prescription instructions.

Health Literacy Month: Why Provider Network Contracting Must Make Care Easier to Navigate

October is Health Literacy Month, an observance focused on making health information easier for people to understand and use. For health insurance payers, however, health literacy reaches well beyond the…

Read More
Health care professional writing beside a laptop and stethoscope, with digital document and lock icons representing secure medical records and data.

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…

Read More
Health care professional writing beside a laptop and stethoscope, with digital document and security icons overlaid to represent secure medical records.

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.…

Read More
Health care professional using a calculator while reviewing documents, with a tablet and laptop on a desk.

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…

Read More
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…

Read More

Subscribe to Our Newsletter