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 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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GLP-1 Demand: How Health Care Network Strategy Addresses New Cost and Capacity
eHealth recently released a survey finding that 33% of Americans intend to begin taking GLP-1 medications for weight loss when discounted pricing becomes available in 2026. This impending demand is…
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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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Connecting with Florida Health Plan Leaders at FAHP
TOG Network Solutions is proud to announce its sponsorship of the Networking and Benefit Reception at the upcoming Florida Association of Health Plans (FAHP) annual conference taking place November 12-14,…
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