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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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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…
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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.…
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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…
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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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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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