Case Studies
Challenges solved, lessons learned.
More Than Meets the ROI
For a New York health plan, smarter provider network management was a better investment than they imagined.
ReadGrowing Nowhere Fast
Expansion opportunities abounded — but so did challenges.
ReadA Tale of Two Networks
An accidental A/B test reveals there are two ways to build a network — and one of them’s a nightmare.
ReadOversight, Meet Insight
A large state regulator finally gets the tools it needs to do the job right.
ReadToo Bad to Ignore, Too Big to Fix
A vision managed care company confronts a provider data nightmare.
Read“Are We Compliant — or Not?”
It was time to take the guesswork out of CMS and state adequacy requirements.
ReadUniting an Enterprise
They set out to solve adequacy — and built a stronger business along the way.
ReadBuilding Their Own HMO
A large urban metro health system finds the partner it needs to go it alone.
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