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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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Most-Favored-Nation Drug Pricing: What Medicaid Payers Need to Know
Prescription drug costs remain one of the most difficult expenses for Medicaid payers to forecast and manage. As federal policymakers explore most-favored-nation drug pricing, health plan executives need to understand…
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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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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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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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Oncology Benefit Design: Mitigating the Escalating Cost of Lung Cancer Care
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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