Dec 19, 2025
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3 min read
There's an acute need for new approaches to primary care in Medicaid, and a bill before Congress would extend additional flexibilities to state Medicaid agencies interested in exploring DPC as a potential solution.
Dec 10, 2025
2 min read
Creative supplemental benefit design, regulations requiring plans to show their work, and major themes going into 2026 across MA and SNP plans.
AI optimism, navigating internal tensions between innovations in the payer and provider businesses, and a framework for deploying AI across large organizations
Nov 25, 2025
How payers are navigating pricing, growth, profitability, risk adjustment, and geography in the ACA marketplaces.
Nov 20, 2025
The new model has everything: it's mandatory, has upside and downside risk, and is focused on heart failure and low back pain. But is the juice worth the squeeze?
