Health plans are confronting significant pressure to their financial sustainability, including rising costs, new regulations, and increased competition. Rising medical costs remains an ongoing challenge, with medical expenses outpacing projections in 2023 driven by factors such as post-COVID demand, network…

Summary At one point, the Affordable Care Act (ACA) market was the “new kid on the block” and every health plan wanted in. Shortly after its debut, plans faced financial and competitive challenges. The uncertainty of this market rapidly became evident…

In the past few years, the COVID-19 pandemic has dominated our attention, disrupting traditional healthcare delivery and access. During this time, member access to care was largely focused on adapting and responding to the pandemic. Now that the industry has largely reached stabilization…

In this Executive Brief, HealthScape will discuss how health plans can use their relationships with local health systems to create new integrated provider partnerships that go beyond current value-based relationships and bring forward the value in vertically integrated partnerships. Introduction…

Every January, we provide our perspective on areas of increasing importance and value for health plans for the upcoming year. Our prospective view of 2021 focused on the need for health plans to strike a balance between innovation and investment…

HealthScape Advisors has been honored to join forces through a multi-year relationship with the Cura Foundation and the bi-annual International Vatican Conference. This year’s event and unique program focused on “Exploring the Mind, Body & Soul – How Innovation and Novel Delivery…

Reflecting on the significant events of 2020, most notably, heightened racial unrest and the unequal impact of COVID-19, we have a unique and time-sensitive opportunity to address the reality that racial disparities exist in our country. Racial disparities permeate across…

2020 has redefined healthcare in a way no one could have predicted. The US healthcare system finds itself looking at an uncertain future in which healthcare, namely COVID-19, has manifested itself in nearly every aspect of life. The impact of…

In June 2019, the Trump administration issued an Executive Order (EO) that directed the U.S. Department of Health and Human Services (HHS) to propose regulations that enhance the ability for patients to shop for healthcare services. As directed by the…

As the world collectively addresses the COVID-19 crisis, we believe it is important for healthcare leaders to understand and plan for longer-term changes to the industry. In this Executive Brief, we will discuss our perspectives on how the economic environment…