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Payer Network Strategy

Expert articles and analysis related to payer network strategy.

42 articles•Last 7 Days

AI Summary — Last 7 Days

Medicare Advantage network strategy tightened further this week as UnitedHealth and Humana pulled back 2027 offerings and benefits to protect margins, with UnitedHealth reportedly exiting plans affecting about 390,000 MA members—an escalation of the “shrinking network” dynamic now surfacing in markets like Pittsburgh and raising attribution, leakage, and referral-access risks for VBC providers. At the same time, provider-aligned MA plays are selectively expanding where network control and care-management economics are stronger, as seen in [Sutter Health and SCAN’s co-branded MA expansion](https://news.google.com/rss/articles/CBMiwwFBVV95cUxQR2FmZ1VwdU9GSjZybHlsN01PQlRnWVlRSDJReXhlRkw2eFdETlhkM3pGQ2NTRE8yMkhUSTNOcGhDMzk5bEFfMU4teDRzT3g5M0RrYWQwU216TXhYNExuM3lYUnlQcG5xamNLU0Y1RndxbFEycEwzRlAySVk1eG8xT2NyejZMLUFabGh5SXdXeS1nbzl2dG9DS09SX3JHX1FwRkhZeDUyaU9EU0dGV0VpTVJFaURFcHpSUWlId2

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