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Healthcare Market Dynamics

Expert articles and analysis related to healthcare market dynamics.

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Medicare Advantage and VBC infrastructure activity accelerated, with vendors positioning around CMS’s ACCESS Model participation and MA audit readiness as providers weigh new risk-bearing opportunities under the Trump CMS led by Administrator Dr. Mehmet Oz and CMMI Director Abe Sutton. At the same time, MA economics remain strained: Clover reported 51% year-over-year MA membership growth, while a North Carolina hospital moved to drop BCBS and UnitedHealthcare MA plans as “financially and operationally unsustainable,” underscoring widening tension between MA growth, plan-provider contracting, documentation scrutiny, and downside-risk readiness (Clover MA growth; [NC hospital drops MA plans](https://news.google.com/rss/articles/CBMihwJBVV95cUxPSVFkazlxQkFHekdXSUJlYjQ4NEpDWlBSRGVQNk1jYmE5eE5tN2pSQ3JFaVFuS3loZjRhT20xTUQxakFyNnhPQ2dpdFFYQ1hXUTdqT3FYMEF4MUZ5ejlpaDB4dkFZNFc4U1ByS3ZXbTRyX2hLVFkxMmt4NkJhWDBjOE1KR1YtcVQwb19LU1

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