Today's Updates

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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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3 data-driven insights on Medicare Advantage Star Ratings

Medicare Advantage plans are grappling with cost pressures and regulatory changes. Unlock insights from our Health Plan Market Explorer to identify growth opportunities and improve performance.

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Provider-sponsored health plans: Strategies for long-term success

Provider-sponsored health plans (PSHPs) are gaining traction in healthcare, but success hinges on strategic alignment and execution. Learn how to position your PSHP for long-term growth and resilience.

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Market outlooks by health plan line of business (LOB)

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 presentation to your board, C-suite, or your team.

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Report

Revenue cycle claims denial benchmarks

Claims denials are a growing source of margin risk. These benchmarks show where denial exposure concentrates — and where disciplined execution can still unlock predictable financial gains.

Ready-to-Use Slides

Market outlook for employer-sponsored insurance

Employer-sponsored insurance costs are climbing, employees are feeling the squeeze, and employers are rethinking every aspect of their benefits playbook. Here's what leaders need to know for 2026.

Podcast

288: Health policy update: VBC, site-neutral payments, and 340B

Advisory Board experts break down three important health policy shifts for 2026 – from value-based payment and site-of-care updates to 340B turmoil — and what leaders must do next.

Report

Provider-sponsored health plans: Risks, opportunities, and action steps

Provider-sponsored health plans (PSHPs) offer an opportunity to align care and coverage, but many struggle to scale effectively. Find out how to achieve long-term sustainability and strategic success.

Report

Provider-sponsored health plans: Strategies for long-term success

Expert Insight

3 data-driven insights on Medicare Advantage Star Ratings

Medicare Advantage plans are grappling with cost pressures and regulatory changes. Unlock insights from our Health Plan Market Explorer to identify growth opportunities and improve performance.

Podcast

286: A Medicare Advantage reset — and what comes next

With MA margins falling and instability rising, experts unpack what’s driving the shift — and what’s next for MA and health plan strategy.

Report

Provider-sponsored health plans: Strategies for long-term success

Ready-to-Use Resource

Your guide to VBC contracting levers

Learn how provider organizations can use a range of contracting levers to strengthen value-based care (VBC) performance and maximize contract value.

Podcast

288: Health policy update: VBC, site-neutral payments, and 340B

Advisory Board experts break down three important health policy shifts for 2026 – from value-based payment and site-of-care updates to 340B turmoil — and what leaders must do next.

Podcast

282: What CEOs need to know in 2026 (Part 2)

Advisory Board experts examine purchasers’ new approaches to spend management, and the new players influencing care decision-makers.

Expert Insight

Scaling digital therapeutics: Your guide to 3 critical market realities

The digital therapeutics (DTx) market is evolving, but adoption hurdles remain. Discover how unmet needs, regulatory shifts, and clinical integration challenges are shaping developers’ paths to scale.

Expert Insight

How health plans can tackle rising administrative costs

By tackling administrative costs head-on, health plans can streamline operations, improve member experience, and drive growth. Learn how one national health plan achieved results through a digital customer service initiative.

Case Study

How Quartz Health Solutions earned member trust with care management

Quartz Health Solutions' care management transformation prioritized member trust and engagement. Learn how three changes led to increased engagement, improved outcomes, and a more holistic approach to care.

Report

The MCO's guide to 4 trends shaping the future of Medicaid RFPs

Winning bids is essential for Medicaid Managed Care Organizations (MCOs), and understanding the emerging trends in Medicaid requests for proposal (RFPs) is key to success. Four priorities are shaping the future of RFPs: health equity, behavioral health, population health, and social determinants of health (SDOH). Learn how MCOs can strategically plan and document their approaches to win RFP bids.

Implementation resources

Report

Revenue cycle claims denial benchmarks

Claims denials are a growing source of margin risk. These benchmarks show where denial exposure concentrates — and where disciplined execution can still unlock predictable financial gains.

Ready-to-Use Slides

Market outlook for employer-sponsored insurance

Employer-sponsored insurance costs are climbing, employees are feeling the squeeze, and employers are rethinking every aspect of their benefits playbook. Here's what leaders need to know for 2026.

Report

Site-of-care shifts 2026: Inside the latest trends and data

One wave of outpatient shift has stabilized nationally — are we at the start of another? Drawing on extensive data, this report breaks down the uneven pace of shift across services and regions.

Report

4 steps for successful risk contracting with payers

Many hospitals and health systems still leave money on the table in risk contracts. Learn four steps to negotiate stronger terms and prove your long-term value to payers.

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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Site-of-care shifts: Healthcare’s $50B opportunity

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Resource hub: Market trends in orthopedics

Revenue cycle claims denial benchmarks

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Health plan strategy

3 data-driven insights on Medicare Advantage Star Ratings

Provider-sponsored health plans: Strategies for long-term success

Market outlooks by health plan line of business (LOB)

Revenue cycle claims denial benchmarks

Market outlook for employer-sponsored insurance

288: Health policy update: VBC, site-neutral payments, and 340B

Provider-sponsored health plans: Risks, opportunities, and action steps

Provider-sponsored health plans: Strategies for long-term success

3 data-driven insights on Medicare Advantage Star Ratings

286: A Medicare Advantage reset — and what comes next

Provider-sponsored health plans: Strategies for long-term success

Your guide to VBC contracting levers

288: Health policy update: VBC, site-neutral payments, and 340B

282: What CEOs need to know in 2026 (Part 2)

Scaling digital therapeutics: Your guide to 3 critical market realities

How health plans can tackle rising administrative costs

How Quartz Health Solutions earned member trust with care management

The MCO's guide to 4 trends shaping the future of Medicaid RFPs

Want more? View all of our research and insights on health plans.

Revenue cycle claims denial benchmarks

Market outlook for employer-sponsored insurance

Site-of-care shifts 2026: Inside the latest trends and data

4 steps for successful risk contracting with payers

Advisory Board webinars and events

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Max Hakanson

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