White Papers

From the latest trends to overcoming industry challenges, our white papers outline the “need to know” within the healthcare administration space.

Paving the Road to Health Equity with Next-Gen Provider Networks

CMS provider network adequacy standards were an important step toward health equity. However, outdated algorithms and distance guidelines aren’t enough to achieve health equity for all. We explore how and when the model fails in its intent & how we can use better modeling to help address these shortcomings.

Creating a Better Provider Experience

Building strong, healthy provider networks is anything but easy and absolutely critical to the success of every health plan.

Navigating the Continued Evolution of Value-Based Care in Traditional Medicare

With a speedy makeover for the Global and Professional Direct Contracting Model, CMS is making sure to incorporate lessons lea…

Top 4 Challenges Facing Health Plans in 2022 and How to Overcome Them

From network development and staffing shortages to managing relationships in an increasingly digital world, health plans have a lot on…

Roadmap to Innovation: What Payers Need to Compete in the Digital-First Healthcare Environment

Innovation is no longer optional for established health payers and digital native startups. Without revamping inefficient processes, payers…

Infusing Digital Innovation into Network Development to Boost Efficiency and Improve Experiences

High-performing provider networks are at the core of a health plan’s success. Embracing digital innovation during the network development…

Gaining an Edge in Contracting and Credentialing with Best Practices for Medicare Advantage Plans

The Medicare Advantage landscape offers attractive opportunities for health plans looking to enter the market or expand their presence…