Managing Margin Pressure: CMS Proposes Nearly Flat 2027 Medicare Advantage Rates
The Centers for Medicare and Medicaid Services (CMS) has released the 2027 Advance Notice for Medicare Advantage and Part D, proposing a base rate increase of 0.16%. While CMS projects…
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How Health Care Plans Move Provider Networks from Compliance to Strategic Profitability
The provider network represents the single greatest component of total medical expense for managed care organizations. However, for many executives, network management remains a reactive, fragmented process focused primarily on…
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Cardiovascular Disease Management: How Network Intelligence Protects Payer Margins During American Heart Month
Is cardiovascular disease a clinical priority or a financial risk for your health plan? In a market where heart disease remains a leading driver of high-cost claims and MLR instability,…
Read MoreAre You Relying on Unverified Data for Your Next Health Care Acquisition?
Acquiring a health care provider practice is high-stakes. Relying on simple financials leaves you vulnerable to hidden risks and faulty valuations. The foundation of every successful deal is precision network…
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How Provider Network Strategy Secures Member Satisfaction and MLR in 2026
A recent survey by eHealth found 77% of Americans feel satisfied with their health insurance options for 2026. This high satisfaction rate exists despite a majority of consumers, particularly Affordable…
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