Tag: Provider Network

Doctor on left meets with smiling male patient who is wearing black-rimmed glasses.

Men’s Health Strategy: Mitigating the Financial Impact of Delayed Preventive Care

June is recognized as Men's Health Month, an observance dedicated to raising awareness about preventable health problems and encouraging early detection and treatment among men. While the primary focus of…

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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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Young female doctor wearing a white coat helps an elderly female patient with her walker.

Navigating the Managed Medicaid Margin Crisis

For years, managed Medicaid was a reliable engine of growth and profitability for the nation’s largest health care insurers. However, a significant shift in the landscape has transformed the segment…

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Business man pouring over charts and working on a calculator.

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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