Innovating the network design process
Network design is of central importance to health plans. An efficient and effective network must be competitive to attract members and retain them by meeting their needs with high-value providers. [...]
How Shared Intelligence Leads to Shared Savings
During this year's RISE Payer/Provider Engagement and Contracting Summit, Dr. Jegar Jasani hosted a panel session with leaders from Horizon Blue Cross Blue Shield of New Jersey called "Innovations to Improve Care Interventions." [...]
3 Steps to Success for Medicare Advantage Plans
Earlier this year, CMS released its 2021 Medicare Advantage (MA) enrollment file, showing an average of 9% increase in Medicare Advantage plan growth in 2020. A report by the KFF showed average [...]
Webinar recap: How Cigna is Innovating their Network Design Process
On December 16th, we hosted an AHIP webinar discussion about how Cigna is innovating their network design process for market expansion. Health plan experts from Clarify Health, Dr. Jegar Jasani and [...]
New Research: Telehealth Trends Among the Commercially Insured
Much like how many consumers are turning to Amazon or Instacart delivery instead of in-store shopping during the pandemic, early data suggests that large swaths of the US population are [...]