Insights & Perspectives

On May 6, 2021, six companies gathered for what we called a "monthly meeting." There was no polished agenda, no established playbook. There was a shared frustration and belief that the managed care community deserved something better than the isolation and opacity they had been navigating alone. That was five years ago. And looking back, I find myself both humbled and energized by how far we have traveled together.

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.

Avalere Health shares findings from a payer survey examine trends in commercial payer use of cost avoidance strategies and how these programs could affect medication access.

While health plans invest aggressively in member experience, care management, and digital engagement, the communications infrastructure supporting all of it continues to operate as a cost center rather than a strategic capability.

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.

M3P isn’t just about payment flexibility, it’s about making healthcare more accessible, understandable, and member-friendly. Command Direct breaks down the mandate.