Insurance & Payor Strategy
Expert articles and analysis related to insurance & payor strategy.
AI Summary — Last 24 Hours
Synthesis:
In the past 24 hours, several key developments have shaped payor strategy and value-based care dynamics. CMS’s recent Medicare Advantage rate update has provided a reimbursement boost to insurers, easing concerns on Wall Street and reinforcing payers’ commitments to MA risk contracts and population health investment.
Related Articles
Medicaid Managed Care Plan Alignment With State Substance Use Disorder Treatment Coverage Requirements | Milbank Quarterly | Milbank Memorial Fund
Medicaid is the largest payer of substance use disorder (SUD) treatment in the United States. Managed care plays an important role, administering benefits for more than 80% of Medicaid enrollees. Whil...
Payer–Provider Partnerships For Specialty Care Must Use Health Outcomes As Their North Star
Payer–Provider Partnerships For Specialty Care Must Use Health Outcomes As Their North Star  Health Affairs
5 ways insurers are betting big on AI
5 ways insurers are betting big on AIÂ Â Becker's Hospital Review
UNH vs. HUM: Which insurer stock has more upside after CMS reverses Wall Street’s biggest Medicare rate fear?
UNH vs. HUM: Which insurer stock has more upside after CMS reverses Wall Street’s biggest Medicare rate fear?  MSN
Only 1 in 4 employers able to ‘absorb’ increasing health benefit costs without impacting business
Only 1 in 4 employers able to ‘absorb’ increasing health benefit costs without impacting business  Fierce Healthcare
Medicare Advantage: Insurers get a pay bump
Medicare Advantage: Insurers get a pay bump  MSN
Teladoc Health reports strong momentum behind BetterHelp insurance shift, CEO says
Teladoc Health reports strong momentum behind BetterHelp insurance shift, CEO says  Fierce Healthcare
2026 ACA Open Enrollment – What Happened?
On April 15, 2026, Wakely Consulting Group, a Health Management Associates, Inc. Company, released a paper titled, Who Paid, and Who Stayed? Early 2026 Enrollment Trends in the Individual Market.1[1] ...