Payer Systems

Compliance and Outcomes Reshape Payer IT for 2026
Management & Administration Compliance and Outcomes Reshape Payer IT for 2026

The healthcare payer information technology sector is rapidly approaching a defining moment, with 2026 poised to be a pivotal execution year that will fundamentally reshape investment priorities, technological roadmaps, and the entire vendor acquisition landscape. A powerful convergence of

Fixing Prior Authorization Starts With Providers
Management & Administration Fixing Prior Authorization Starts With Providers

The persistent friction of prior authorization has long been a source of frustration within the American healthcare system, often creating significant delays in patient care and burying clinicians under a mountain of administrative tasks. While the prevailing narrative has frequently positioned

How Can Systems of Excellence Transform Population Health?
Management & Administration How Can Systems of Excellence Transform Population Health?

The American healthcare landscape is currently grappling with an unsustainable paradox, where remarkable medical advancements coexist with a failing system for managing the very chronic diseases that affect the majority of the population. This "sick-care" model, which prioritizes reactive

Why Are Americans So Divided on Health Care?
Management & Administration Why Are Americans So Divided on Health Care?

A comprehensive analysis of the American public's views on health care reveals a profound national paradox: while a solid majority agrees that the federal government has a fundamental duty to ensure coverage for all citizens, this consensus shatters when it comes to the method of delivery. This

How Will SUD Treatment Prove Its Value in 2026?
Management & Administration How Will SUD Treatment Prove Its Value in 2026?

The year 2026 is poised to be a watershed moment for the substance use disorder (SUD) treatment industry, compelling providers to fundamentally redefine their value proposition amid unprecedented market and policy pressures. Following a tumultuous 2025 characterized by investor hesitation,

State Laws Create a New Maze for Patient Data Privacy
Management & Administration State Laws Create a New Maze for Patient Data Privacy

The regulatory environment surrounding patient data privacy has become an increasingly complex labyrinth for healthcare and pharmaceutical organizations, especially those that manage sensitive information through patient support programs. The central challenge arises from a fragmented and rapidly

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