Featured Whitepapers

High costs, low adherence: The GLP-1 challenge for managed care

Medicaid spending on GLP-1s has surged by 500% since 2019, with annual per-patient costs topping $17,000. Yet just one in three patients stay on these medications after a year. As demand soars, payer leaders face urgent questions about affordability, adherence, and equitable access.

To ensure the sustainable implementation of GLP-1s, managed care organizations must adopt innovative strategies, such as value-based contracting and comprehensive patient-engagement programs.

It's time to rethink care: How AI is driving measurable change

AI is no longer on the horizon. It's already here and it's revolutionizing how care is delivered and experienced.

Top health plans are now leveraging AI to streamline operations, reduce costs and engage members in new ways. These efforts are delivering real results across populations.

Explore how AI can help you ease your team's administrative load, close persistent care gaps, and elevate chronic care outcomes. Download this must-read report to stay ahead of the disruption curve.

CMS to audit every MA plan — Why prospective risk adjustment is now mission-critical

CMS just raised the stakes: All Medicare Advantage contracts will now be audited each year — a move signaling the agency's strong push to tighten oversight and recoup overpayments. Retrospective models are no longer enough.

This whitepaper outlines how forward-thinking health plans are shifting to prospective risk adjustment to close gaps earlier, improve HCC capture and avoid audit risk. It explores tech-enabled strategies that support network providers at the point of care — streamlining documentation, strengthening quality and enabling year-round gap closure.

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