Thoughts from the Road

Enrollment in D-SNPs continues to rise, and with the changes CMS announced in its 2023 Final Rule, plans have clearly focused on improving cost and quality of care for those eligible for both Medicare and Medicaid. But even with these improvements, 44% of Dual Eligibles switched plans for 2023, which creates burden for both the

Mid-sized, regional health plans generally flourish in the local markets they serve. But increasingly, the top five U.S. health insurance companies bring the strength of their sizeable technological capabilities, resources, and marketing muscle to the battle for market share. As these giants pump substantial capital into innovation – like digital capabilities, value-based care, wellness, analytics,

Changes in consumer mindset have led healthcare companies to look toward expanding capabilities that meet consumer demand. Consumer-driven healthcare prioritizes convenience, personalization, and experience. The reality is that healthcare is no longer competing only against itself, but also against the last experience members have had as consumers. Today, health plans that are focused on meeting consumer