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Managing the Margin Reset in Medicare Advantage
eBook
Strategy

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, and encounter-based validation are collectively narrowing revenue…

The Five Levers That Win CY2027
eBook
Strategy

The Five Levers That Win CY2027

Medicare Advantage is entering a margin maturity phase. Rate pressures are intensifying, audit scrutiny is tightening, and the gap between top-quartile and average plans could…

Reducing Medical Loss Ratio and Enhancing Member Care 
eBook
Payer | Strategy

Reducing Medical Loss Ratio and Enhancing Member Care 

Discover how BCBS organizations can reduce Medical Loss Ratio and enhance member care while managing rising healthcare costs and growing regulatory demands. This exclusive eBook…

Sustainable Cost Optimization for Payers: Unlocking Efficiency and Growth in Healthcare
eBook
Payer | Strategy

Sustainable Cost Optimization for Payers: Unlocking Efficiency and Growth in Healthcare

Healthcare payers face mounting challenges balancing rising costs, regulatory demands, and member expectations. Learn how to optimize Medical Loss Ratios (MLR), modernize outdated systems, and…

Healthcare’s Mashup: Turning The Unexpected Into Progress
Blog
Strategy

Healthcare’s Mashup: Turning The Unexpected Into Progress

From laggard to leader. How healthcare’s mashup of organizations, technologies, care delivery and payment models is moving the industry forward.

Seven Compelling Healthcare Conversations
Blog
Strategy

Seven Compelling Healthcare Conversations

With our 7th Annual Healthcare Summit less than a month away, we’ve assembled a pre-read packet of the Seven Most Compelling Healthcare Conversations we’ll be facilitating…