Insights & Perspectives

Insights & perspectives features MCRA Member contributions, organizational updates, and informed viewpoints on the issues influencing healthcare today. It’s where MCRA Members share expertise, progress, and perspective.

Looking ahead: What the MHE 2025 State of the Industry survey tells us about 2026

The Managed Healthcare Executive 2025 State of the Industry survey is a timely snapshot of how payers, providers and pharmacy leaders are navigating today’s evolving healthcare landscape. The results highlight the pressures, opportunities and emerging shifts influencing decision-making across managed care.

INDUSTRY INSIGHTS

Dec 12, 20251 min read

AI Across Payers, Providers, and PBMs: Turning Pilots into Progress

Explore how payers, providers, and PBMs are moving AI from pilot projects to real operational impact. Learn the top use cases, barriers to scaling, and the key metrics and strategies driving successful AI adoption across the healthcare ecosystem.

MEMBER INITIATIVES

Dec 10, 20254 min read

With CMS Poised to Roll Back the Mid-Year Notice Rule, Strategic Member Communication Matters More Than Ever

CMS has proposed rescinding the Mid-Year Supplemental Benefit Notification requirement as part of the CY2027 Proposed Rule, with enforcement already paused for 2026. While the mandate may be removed, the need for clear and effective member communication remains.

INDUSTRY INSIGHTS

Dec 5, 20254 min read

Impacts to Insurance Markets, 2026 and Beyond

Avalere Health experts discuss how they developed and deployed an analytic model to predict likely enrollment changes to assist clients in understanding the impacts on all lines of business as a result of upcoming federal policy changes.

MEMBER INITIATIVES

Nov 19, 20251 min read