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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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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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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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