Pharmacy Benefit Management in 2025

Explore key strategies for payers to reduce drug costs in 2025 without compromising patient care, from biosimilars to value-based contracting.
How Payers Can Improve Access for Rural Populations

Discover how payers can bridge rural healthcare gaps with telehealth, provider networks, and community-driven solutions.
Digital Health Literacy

Helping Members Navigate Telehealth, Wearables, and Online Portals The healthcare landscape is evolving rapidly, and digital tools like telehealth, patient portals, and wearable devices are becoming essential for managing health. But not everyone is comfortable using technology to access care. Many people struggle with logging into online portals, scheduling virtual appointments, or understanding the data […]
Making Prior Authorization Easier

Learn how insurance companies can streamline the process with AI, automatic approvals, and better communication to improve patient care.
The Price Transparency Challenge

Discover how payers can improve price transparency to help consumers make smarter, cost-effective healthcare decisions.
Supporting Families During Wise Healthcare Consumer Month

Discover how payers can empower families to make smarter healthcare choices with clear benefits, price transparency, digital health tools, and preventive care support.
5 Performance Metrics Every Payer Should Be Monitoring

Tracking the right performance metrics can provide valuable insights into your organization’s effectiveness and highlight areas for improvement.
H.R. 238: Implications for Healthcare Payers and Providers

How AI-Powered Prescribing Could Reshape Healthcare for Payers and Providers A new bill—House Bill 238 (H.R. 238)—could introduce a major shift in how prescriptions are handled. This proposed law aims to allow artificial intelligence (AI) and machine learning (ML) systems to prescribe medications, provided they meet state and FDA approval. But what does this mean […]
Value of Collaborative Care in Strengthening Trust

Explore how collaborative care strengthens trust in healthcare by fostering communication, transparency, and teamwork.
Business Intelligence for Payers

By applying advanced analytics, payers can identify trends, uncover inefficiencies, and make data-driven decisions.