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Payer Faced Cost Pressures & Forecasting Issues, Hindering Enrollment Planning & Product Strategy Amid Value-Based Care Shift

HealthWorksAI’s ProductIntelTM helped a payor optimize Medicare Advantage benefits, saving costs and...

Medicare Advantage in 2025: Shifts in Supplemental, Enhanced, and SSBCI Benefits to Meet Evolving Demands

In 2025, Medicare Advantage plans shift focus, reducing OTC, Meal, and Transport...

2025: Rising deductibles, stable MOOP, and strategic premium shifts shape the healthcare landscape

Uncover 2025 Medicare Advantage cost shifts affecting premiums, deductibles, and MOOP limits,...

Mixed Performance in HMO and PPO SNP Plans, With New Growth Opportunities

HMO and PPO plans see mixed trends, with Non-SNPs declining but new...

New plans increase despite a reduction in total HMO and PPO offerings

HMO and PPO plans see declines, but new additions surge by 12%...

27% of C-SNPs in 2025 are new plans, though no Initial Contracts were introduced

SNPs show growth in 2025, with C-SNPs up 21% and D-SNPs expanding...

Payer Faced Cost Pressures & Forecasting Issues, Hindering Enrollment Planning & Product Strategy Amid Value-Based Care Shift

HealthWorksAI’s ProductIntelTM helped a payor optimize Medicare Advantage benefits, saving costs and...
Read More
  • Case Study

Medicare Advantage in 2025: Shifts in Supplemental, Enhanced, and SSBCI Benefits to Meet Evolving Demands

In 2025, Medicare Advantage plans shift focus, reducing OTC, Meal, and Transport...
Read More
  • Market Research

2025: Rising deductibles, stable MOOP, and strategic premium shifts shape the healthcare landscape

Uncover 2025 Medicare Advantage cost shifts affecting premiums, deductibles, and MOOP limits,...
Read More
  • Market Research

Mixed Performance in HMO and PPO SNP Plans, With New Growth Opportunities

HMO and PPO plans see mixed trends, with Non-SNPs declining but new...
Read More
  • Market Research

New plans increase despite a reduction in total HMO and PPO offerings

HMO and PPO plans see declines, but new additions surge by 12%...
Read More
  • Market Research

27% of C-SNPs in 2025 are new plans, though no Initial Contracts were introduced

SNPs show growth in 2025, with C-SNPs up 21% and D-SNPs expanding...
Read More
  • Market Research

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