Building a Modern Technology Framework for I/DD Programs and Providers

Managing services for individuals with intellectual and developmental disabilities (I/DD) has never been more complex or more essential. As states and managed care organizations modernize their I/DD systems, the focus is shifting from administrative oversight to integrated, person-centered care powered by data and technology. But this next chapter isn’t only about efficiency. It’s about dignity,… Continue reading Building a Modern Technology Framework for I/DD Programs and Providers

The New Road to Five Stars: Integrated Care Management for 2026 Star Ratings and Beyond

Health worker puts the rating stars on blurred background.

Medicare Advantage (MA) plans continue to face mounting pressure to achieve high Star Ratings, comply with evolving CMS regulations, and deliver equitable, high-quality care. The 2025 Star Ratings averaged just 3.74 (weighted by enrollment), leaving many plans short of their quality and revenue goals. With ~$16 billion in quality bonuses on the line, performance in… Continue reading The New Road to Five Stars: Integrated Care Management for 2026 Star Ratings and Beyond

Maximizing ROI for Health Plans: Improved Efficiencies and Cost Avoidance

Medical and health service manager planning improvements to better patient care at facilities. Business concept for healthcare management, strategic solution, budgeting, scheduling, administration.

Health plans operate in a complex landscape where balancing quality care with financial sustainability is critical. Achieving a strong return on investment (ROI) requires a strategic focus on improving efficiencies and implementing cost avoidance measures. This blog explores how health plans can optimize operations, reduce waste, and drive better outcomes for members and stakeholders by… Continue reading Maximizing ROI for Health Plans: Improved Efficiencies and Cost Avoidance