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Senate parliamentarian takes issue with some proposed Medicaid cuts, payers pledge to reform prior authorization, ACIP meets amid criticism

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

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.

RFK Jr. clears Senate panel, federal and state policy battle over transgender care comes to head in New York, Moody’s downgrades health insurer credit outlook

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

As the Medicare Advantage (MA) Annual Enrollment Period (AEP) is fast approaching, let us imagine a future where Artificial Intelligence (AI) plays a much bigger role in the health plan sales process.

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.