Insights & Perspectives

Tune into a bonus episode of On the Record where Avalere Health experts discuss the recent court decision on Cover Health's Medicare Advantage Stars results lawsuit, and what health plans should be assessing for future potential impacts while appeals and next decisions play out.

Organizations face a common challenge: understanding where engagement begins to break down along the member journey. To help organizations better identify these opportunities, GoMo Health has launched its Personalized Engagement Journey Builder—an interactive planning tool designed to help health plans explore engagement challenges, uncover potential barriers to follow-through, and identify strategies to improve outcomes across diverse populations.

Command Direct shares how the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) is transforming healthcare by streamlining prior authorization, improving data exchange through APIs, and reducing administrative burden for payers and providers ahead of 2026–2027 compliance deadlines.

Command Direct explores why operational controls and structured directory production matter more than ever for Medicare Advantage and Medicaid plans.

Discover how Freshpaint Consent Manager delivers true healthcare-focused privacy compliance by enforcing consent at the data layer — preventing non-essential tracking until permission is granted, adapting to state-level privacy laws, and giving teams customizable, audit-ready consent controls to protect user privacy and power compliant analytics and marketing.

The Managed Care Resource Alliance (MCRA) has partnered with the New York Health Plan Association (NYHPA) to launch a new educational series focused on the operational, regulatory, and strategic challenges facing health plans. Through peer-driven discussions and real-world case studies, the series highlights practical solutions and industry-leading insights.