Webinar
Benefit cuts, tighter utilization management and improved provider network performance
This live session was on what is shifting in MA networks right now, what leading payers are doing differently and what sculpting moves are still on the table before AEP.
Peter Rodes
Jim Politte
Brooks Blakemore
Key Takeaways
- The three levers MA plans are pulling right now: Why benefit cuts and UM tightening alone won’t close your margin gap, and where network sculpting fits into the equation.
- Where your competitors are headed before they announce it: What UHC, Devoted, and other disruptors changed in their networks this year and what it signals for your 2027 bid.
- What’s still actionable in your network and what’s not: A realistic view of what sculpting can accomplish in this window versus what requires a longer runway.
- The execution side, from someone who does it for a living: We will walk through how one plan found $30 PMPM in their network through targeted contracting and utilization changes, and how to build internal buy-in to act on it.
Explore More Webinars
Pencils Down. Now What? Post-Submission Confidence and AEP Targeting for 2026
This exclusive BCBS-focused session explored how top plans are stress-testing their final bids, validating enrollment assumptions, and preparing for strategic AEP execution.
May 20, 2025
2023 AEP Enrollment Outcomes & Trend Analysis
A deep dive into the 2023 AEP enrollment data, including year-over-year trends, regional variations, and emerging markets.