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Multi-year health plan products have the potential to change a lot about how healthcare business models work today.

CBO releases coverage impacts of One Big Beautiful Bill, 5th Circuit to rehear No Surprises Act challenge, many Epic customers live on TEFCA.

Assessing the future of healthcare price transparency requires taking a couple of steps back to review its recent history.

The hospital and health system leaders we work with are extremely concerned about the financial impact their organizations may experience from potentially significant Medicaid policy changes, following the recent passage of a budget resolution by the U.S. House of Representatives.

Health plans interested in inorganic growth should reflect deeply to better understand their motivations as it relates to their strategic goals.

The future will favor payers that adapt to changing market circumstances with agency and velocity. Payers will need to make tough choices.

The Medicare Advantage market has seen unprecedented growth in recent years, with a majority of Medicare eligible beneficiaries enrolling in one of these privately administered plans in...

On a new episode of the Gist Healthcare podcast, Joyjit Saha Choudhury joins host J. Carlisle Larsen to talk about his recent piece, Preparing for Medicare Advantage’s Make-or-Break Moment.

For Medicaid plans that enjoyed a surge in business during the pandemic, this rapid decline in the market may be disheartening, and the large rapid shifts in the Medicaid risk pools will be challenging to manage to target profit margins in the near-term.

Today, the commercial group health insurance market is hollowing out, primarily driven by affordability pressures that have been building for decades.