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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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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