Key Takeaways Operational readiness now matters more than policy interpretation. One year in, health plans understand what the One Big Beautiful Bill Act (OBBBA) requires. The real test is...
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Why Health Plans Need More Than Capacity to Compete in an Era of Growth, Complexity, and AI For years, scalability was largely viewed as a technology concern. As long as claims were processing,...
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Why health plan leaders should move beyond AI add-ons to building a durable competitive advantage with artificial intelligence.
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How behavioral health, program integrity, end emerging CMS priorities are reshaping health plan operations
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Healthcare consumers are changing how they seek information, and increasingly, they are turning to artificial intelligence to do it. Tools powered by generative AI, including platforms like...
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Artificial intelligence (AI) is no longer a future consideration for health plans. AI-powered tools are already reshaping how organizations operate, how members seek information, and how leaders...
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As regulatory and quality expectations intensify, the National Committee for Quality Assurance (NCQA) vendor certification offers health plans a trusted signal that their technology partners can...
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As the healthcare industry prepares for the ripple effects of the One Big Beautiful Bill Act (OBBBA), few payer segments face more immediate challenges than health plans focused on Medicaid...
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In an industry flooded with point solutions, health plans are realizing that using more tools don’t necessarily lead to more value. From member engagement apps and wellness portals to survey...
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Health plan leaders have dozens of digital solutions to choose from—so many that it can feel like real partnership is rare. Too often, vendors deliver software and walk away, leaving health...
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Better outcomes, lower costs: Why health plans are turning to HealthEdge® Wellframe Across the healthcare industry, many health plans grapple with vendor sprawl—a web of disparate systems and...
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The One Big Beautiful Bill Act (OBBBA) introduces sweeping changes to health plan eligibility and rural health care.
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