As national payers recover, not-for-profit regional plans face an uphill battle
They may operate in only one state or offer a more limited number of plans, which gives them fewer options for restructuring, experts said.
In-depth reporting on payer landscape & market dynamics, from market shifts and clinical breakthroughs to the essential updates shaping the sector.
They may operate in only one state or offer a more limited number of plans, which gives them fewer options for restructuring, experts said.
High medical costs, a sicker risk pool, and policy changes continue to test insurer finances.
As ACA enrollment falls, CMO Monica Soni worries about the healthcare system.
The program has become a hot topic as government spending on it continues to rise.
When cancer patients see fewer providers, it’s not clear if MA is optimizing or shrinking care.
It’s been a busy H1!
Frustrated by increasing insurer friction, health systems are cutting out the middlemen.
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