Employer healthcare analytics help health plans improve employer group performance Every renewal season, health plans meet with employers to discuss premium increases, review utilization trends, summarize claims experience, and highlight network strength and benefit enhancements. Employer healthcare analytics has become increasingly important in helping health plans demonstrate value beyond traditional reporting. Employers are facing unprecedented…

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The decision by the Centers for Medicare & Medicaid Services (CMS) to recalculate certain Medicare Advantage Star Ratings has generated understandable attention across the industry. I recently shared my perspective in Health Payer Specialist on what the recalculation means for Medicare Advantage organizations. In this post, I’d like to expand on one of those ideas:…

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