RECALIBRATE YOUR HEALTHCARE STRATEGY
Learn 4 strategic pivots for 2025 and beyond.
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Health plan strategy

Health plans must meet growing purchaser and consumer expectations and address the accompanying challenges. Our research team works with plans of all sizes and types to provide the strategic insight and market intelligence that equips health plan executives to make smart decisions and position their organizations for future success.
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Listen to Advisory Board experts discuss the escalating tensions between health plans and providers — and what to do about it

The relationship between health plans and providers has always included an element of friction, but lately, it seems like the temperature is rising. Host Abby Burns and experts Max Hakanson and Eileen Fennell discuss what each stakeholder says they need to see from their partners in order to mend the relationship.

Learn 5 care navigation strategies to help employers cut healthcare costs

Four new factors are dramatically increasing employer-sponsored insurance costs. We dissect these for you and offer five care navigation strategies to rein in healthcare spend and a picklist to decide which make the most sense for your organization.

Market outlooks by health plan line of business

We’ve put together the top trends and growth outlooks for employer-sponsored insurance, the individual market, Medicaid managed care, and Medicare Advantage — all in slides you can use in your next meeting.

Go deeper on our latest health plan insights
Quick reads
Expert Insight

3 strategies to boost healthcare consumer engagement

As a recent Advisory Board survey found that 53% of healthcare leaders say consumerism is their top priority, organizations must develop a strategy that meets evolving consumer expectations. Learn how to navigate the changing consumer landscape with three key strategies that address accessibility, connectivity, and affordability.
Infographic

The obstacles between health systems and VBC success

Value-based care (VBC) can be a daunting endeavor for health systems, but understanding the challenges is the first step towards success for all stakeholders involved. Dive into this infographic, compiled from 60+ interviews with provider executives, to learn about the key challenges to VBC implementation and get strategies for overcoming them.
Expert Insight

GuideWell’s 3-step process to improve prior authorizations with AI

Prior authorizations (PAs) are notorious for their complexity and delays, but GuideWell found a solution. By integrating artificial intelligence (AI) into their PA process, they reduced cycle time to an average of 11 hours and achieved 78% automated approvals within 90 seconds. Discover how GuideWell's innovative approach improved efficiency and member satisfaction.
Expert Insight

Leading through tension: 3 tips for mastering difficult conversations

Learn how to master difficult conversations and drive organizational growth by strategically managing conflict, communicating with purpose, and understanding team dynamics. Explore three key considerations to help leaders initiate tough conversations and move forward together with their teams.
Implementation resources
Toolkit

Your guide to running a successful healthcare technology pilot

Healthcare technology pilots require careful planning and management for success. This comprehensive checklist provides actionable steps and recommendations to guide you through the process. From setting clear success metrics to engaging stakeholders, learn how to navigate the complexities of pilot implementation.
Case Study

St. Charles Health System’s pilot program for instant authorization in oncology

Prior authorization can be frustrating and time consuming, especially for cancer patients in need of timely care. St. Charles Health System partnered with a health plan to develop an instant authorization pilot program for cancer patients, leveraging their alignment on evidence-based guideline adherence. Learn how this program is reducing delays, improving patient satisfaction, and paving the way for streamlined authorization processes in oncology.
Our Take

6 ways to reduce referral leakage from primary to specialty care

In the highly competitive healthcare landscape, preventing referral leakage is crucial for health systems to maintain network integrity and capture revenue. Discover six tactics to effectively manage referral leakage from primary to specialty care and ensure that referrals stay within your network.
Case Study

How SCAN Health Plan leveraged AI to improve call center operations

Discover how SCAN Health Plan harnessed the power of AI to revolutionize its call center operations and enhance member satisfaction. This case study outlines the health plan’s approach, including prioritizing the problem, getting buy-in, selecting a vendor, and implementing education and training.
Experts
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Bring your leadership together for a presentation where we’ll explore the top priorities for health plans today and better understand how they’re positioning for future success.

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