We supported an established health plan in crafting a successful proposal response to retain access to three existing service areas and gain access to two additional Medicaid regions in a state with a large beneficiary population.
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Amidst changing regulatory, technology, and market dynamics, health plans partner with Avalere to ensure their strategy and operations are aligned to achieve long-term goals.
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Health Plans 2030: Evolving Operational Approaches
Plans are increasingly facing operational and regulatory dynamics that will drive up the costs of healthcare administration and services. These dynamics also influence the tools at plans’ disposal to bend the cost curve. To successfully adapt, health plans should rethink their strategic approaches and, in some cases, create new tools or processes to address costs in a way that promotes holistic member health in a financially sustainable way.
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