Insights & Perspectives

Selling into a health plan is never simple. Even when your solution meets a real need, the internal decision process can be slow and complex. This piece looks inside the health plan’s decision-making structure—why it’s so difficult to get a “yes,” and what you can do to improve your odds.

We are proud to share that the Managed Care Resource Alliance (MCRA) — along with several of our valued Members — have been included in this year’s GTM 100. This acknowledgment reinforces MCRA’s focus on developing innovative solutions that improve health plan performance, elevate member experience, and support the evolving needs of the healthcare industry.

Epstein Becker Green explores the legal and ethical challenges when AI goes wrong — investigating liability for chatbot harm, recent lawsuits, regulatory trends, and best practices for safer design.

Discover why trust is key to member engagement, and explore how Medicare and Medicaid plans can build this trust through reliability, transparency, and peer-to-peer connections to help members achieve better health outcomes.

Avalere Health explores the changes to provider tax provisions included in the One Big Beautiful Bill Act. The article discusses how it will impact state Medicaid funding, and its effects will be felt by plans and providers.

The One Big Beautiful Bill is projected to impact healthcare in New York State for people on Medicaid, the Essential Plan, and those that receive marketplace subsidies. Strategic Advisor, Andrew Biernat, explores the impact of the bill.