Tag: Health Insurance

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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An older woman wearing a beige headscarf smiles while speaking with a healthcare professional wearing a stethoscope. A white cancer awareness ribbon appears in the lower right, with green geometric graphics and branding elements framing the image.

TOG Network Solutions July – August 2026 Digital Content

August 1 is recognized as World Lung Cancer Day, an observance that highlights clinical advancements while underscoring a critical financial challenge for health care executives. Lung cancer remains one of…

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Faceless doctor wearing blue scrubs and a stethoscope around their neck enters data into a calculator in front of a laptop computer.

Payer Strategy: Anticipating the Domino Effect of Hospital Revenue Pressures

The financial and operational pressures mounting within health system leadership are poised to directly impact the broader insurance market. According to the recently released 2026 Hospital Operations Outlook Survey Report…

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Doctor's hands sorting through medical paperwork with decorative digital overlay.

AI in Medicare Advantage: How Health Care Executives Protect MLR and Network Integrity

What happens to your medical loss ratio when every Medicare Advantage recipient has an AI-powered assistant in their pocket? The era of information asymmetry is ending. As Becker's Payer Issues…

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Dice shaped white blocks featuring the letters S-T-R-E-S-S with a finger turning the final cube that reads FREE

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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