Tackling the Cost of Care: Insights from the Front Lines
Update

The Clinical Excellence 2025 Value Visit showcased how health plans are cutting costs without cutting corners. From medical economics and utilization management to quality, data, and innovative care models, this recap captures the key takeaways, who to follow up with, and links to every presentation.




The Take: What’s on the Minds of Clinical Leaders Right Now
Update

We’ve been in conversation with CMOs from regional and provider-aligned health plans across the country—and while every market looks a little different, some clear through lines are surfacing. None of them are entirely new, but they’re all taking on sharper edges as plans adapt to the current landscape.




The Take: The Strategic Tensions Shaping Mid-Market Health Plans Right Now
Update

If you want a clear view into what matters most in healthcare, ask the people who have to make the tough trade-offs. We did just that—checking in with CEOs and senior leaders from regional and provider-aligned health plans across the country. Their responses illuminate a sector under pressure and in motion.

Universal Health Services Accountable Care Organizations (ACOs) Drive Record Results, Saving Medicare $100 Million in 2024

With five participating ACOs across five U.S. states and the District of Columbia, Prominence Health and its partner clinicians continue to drive significant savings for Medicare.

Josiah Sutton Appointed CEO of CommunityCare
press

CommunityCare has announced the appointment of Josiah Sutton as President and Chief Executive Officer. A longtime leader within the organization, Sutton brings both institutional knowledge and a passion for service to the role, reinforcing the company’s stability and long-term vision.

Krista Hoglund Named New President of Jefferson Health Plans
Press

Jefferson Health Plans has appointed Krista Hoglund, ASA, MAAA, MBA as its next President, effective March 10, 2025. A seasoned executive with extensive experience in the health insurance sector, Hoglund brings a strong track record of leadership, strategic innovation and expertise in value-based care.