Blog
Healthcare outcomes have never mattered more, and achieving exceptional performance has never been harder. Many mid-to-large health plans are below the 4-Star threshold in Medicare Advantage (MA). While that level of performance may seem acceptable, it can cost health plans millions. Why the 4-Star threshold is a…
Read More
OpsIgnite 2026 brought together operational leaders from across the Blues ecosystem for four days of candid conversation, practical insights, and forward-looking strategy, all centered on a shared goal: turning complexity into coordinated action. Across…
Read More
The 2026 Becker’s Spring Payer Issues Roundtable brought together more than 500 executives for two days of focused discussion on the trends shaping the future of healthcare. Across sessions, panels, and conversations, familiar priorities…
Read More
Healthcare payers are operating under sustained margin pressure. Rising specialty drug costs, post-COVID utilization shifts, Medicaid and Medicare Advantage margin compression, and increasing quality expectations are all converging at once. At the same…
Read More
Health plans don’t have a data problem. They have an action problem. Information from multiple domains, including claims, medical management, finance, network operations, quality, social risk, and customer experience, is spread across dozens of systems and vendors. …
Read More
The growing pressure on payer performance Healthcare organizations have more data than ever before yet achieving meaningful performance improvement has never been more difficult. Rising costs, specialty drug spend, and Medicare Advantage challenges…
Read More
The healthcare industry has reached a pivotal moment. Rising medical costs, tightening margins, increasing regulatory pressure, and the continued shift toward value-based care are forcing payers to rethink how they manage performance across…
Read More
The HIMSS Global Health Conference & Exhibition returned to Las Vegas in March 2026, bringing together thousands of healthcare leaders, clinicians, and innovators to explore the technologies and strategies shaping the future of…
Read More
March 9-12, 2026 | Venetian Convention & Expo Center | Las Vegas As margin pressure intensifies and value-based care models mature, healthcare organizations are under more strain than ever. Payers and providers…
Read More
Payers increasingly recognize that social risk factors materially influence total cost of care, utilization, and quality performance. Yet for many organizations, social risk data remains siloed, underoperationalized, and inactionable. On a recent webinar,…
Read More