Managed Care Operations
Expert articles and analysis related to managed care operations.
AI Summary — Last 24 Hours
MedPAC’s new observational work suggests Medicare Advantage enrollment growth is not broadly damaging hospital or post-acute finances, but it is still creating operational friction for providers through utilization management, payment variation, and patient-mix shifts—issues that matter directly for ACO contracting, network strategy, and managed-care revenue-cycle design (HFMA). Health plans are simultaneously preparing for HEDIS MY 2026 digital quality measurement, with vendors such as Vital Data Technology securing NCQA certification, reinforcing the near-term push toward more automated quality reporting, Stars performance management, and population-health analytics ([PR Newswire](https://news.google.com/rss/articles/CBMiogJBVV95cUxPcU1PV3VYZGRla2E2eWVPYWpHel9Hd3JPcldORHhCX0JYaWpENFlQNWgxZmRMY2trRDFLc0Vwd3ZJeFkwcTRFbWNOTjdWa3BoMHp0SjNUY284NjRMbWRMb3c1OE9UOEp0amdlQTEyWVdSeDloOGtHOXNMSW1fU0t2eFMyNkNIdWxtTmpzMk1RcUhFUDVtQzZBZzRWT3RWV0h3a
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