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The market evolution of provider-led health plans

Offering a health plan can give health systems an opportunity for growth, but it is not without financial risk. To benefit from this move, health systems should use a different lens to understand both consumers and risk, know where the best growth opportunities are, rethink their payor-provider interactions, and take advantage of integrated claims and clinical data.


Great customer experience: A win-win for consumers and health insurers

Our research suggests that improving customer experience could lead to significant financial gain, and that an approach beginning with a deep understanding of the consumer's journey could be the key to success.


Improving acquisition and retention in Medicare

When people get to the age of 75, chances are they’ll stay put—with their health plans at least. According to our Annual Enrollment Period (AEP) survey of 2,208 senior consumers, the Medicare population is a loyal bunch, and loyalty increases with age.


Breaking down the gender challenge

To make meaningful progress on gender diversity, companies must move beyond the averages and focus on the biggest pain points.


Hospital networks: Perspective from three years of exchanges

We analyzed every individual exchange hospital network across the U.S., and here’s what we learned.


Sources of value from healthcare IT

Analysis of the HIMSS Value Suite database suggests that investments in healthcare IT can produce value, especially in terms of improved treatment and clinical care. However, gaps remain that the industry must fill before value from healthcare IT can be fully understood and maximized.