Care Coordination Reimagined: Five Lessons for an AI-enabled Future
Reducing the cost of care means making every interaction count. Whether it’s helping a member reach the right…
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The State of Healthcare AI in 2026
75 senior healthcare executives reveal where the industry really stands on AI. The ambition is aligned; the readiness is not. See the maturity gaps, investment priorities, and structural barriers separating organizations creating enterprise value from those stuck in costly experimentation.
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The State of Healthcare AI in 2026
75 senior healthcare executives reveal where the industry really stands on AI. The ambition is aligned; the readiness…
The Agentic Evolution: The Payer’s Guide to the Next Automation Era
Payers have hit the ceiling of rules-based automation. The next era is intelligent orchestration across claims, prior authorization,…
Managing the Margin Reset in Medicare Advantage
The CY2027 Advance Notice isn’t a routine rate update. A near-flat base update, normalization pressure, revised sources-of-diagnoses policy,…
The Five Levers That Win CY2027
Medicare Advantage is entering a margin maturity phase. Rate pressures are intensifying, audit scrutiny is tightening, and the…
CMS-0057: The Interoperability Imperative
CMS-0057 is redefining how health plans operate, not just what data they expose. With 2026 reporting requirements approaching…
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