Going forward, growth for health plans will be more difficult, but it won’t be impossible. As the healthcare ecosystem shifts, plans must refine their strategies to keep pace with pressures on cost and outcomes, including an uncertain regulatory landscape, shifting patient populations, growing drug spend, and surges in utilization. To realize near-term growth goals, health plans must first focus on bolstering margins sustainably, rather than aiming to increase topline revenues. With a sustainable approach in place, health plans can look to capture additional market share or diversify beyond their traditional insurance business.