Insights
Medicare Advantage Compliance: What You Can Still Do Before 2026
New CMS rules are reshaping Medicare Advantage. See how treating compliance strategically—not just as a checkbox—can boost Stars performance, protect margins, and build member trust before 2026.
Insights
The Hidden Costs of Legacy Systems: How Cloud & AI Can Help
Outdated healthcare systems are driving hidden costs and compliance risks. Learn how cloud and AI modernization can help payers cut waste, meet CMS mandates, and build a faster, more connected operating model.
Industry
KPIs in the Age of AI: A Conversation with Bernie Smith
Bernie Smith, globally recognized expert in performance measurement and KPI design, shares how CFOs can leverage smarter KPIs in the AI era — measuring what once seemed unmeasurable, spotting early signals, and turning data into action.
Practice
The New Reality for Payers
In this Visionary Voices interview, Rachel Adler, Healthcare Vertical Lead, explores how payers can drive healthcare transformation by mastering regulatory complexity, applying AI responsibly, and leveraging M&A and partnerships to lower costs and improve care. Discover four priorities shaping the future of healthcare payers.
Practice
The False Choice Between Profit and Patient Care
In this Visionary Voices conversation, Zach Berger, Director and Business Advisory & Government Programs Lead, shares how Medicare and Medicaid payers can thrive by putting member outcomes first. He explores the balance between innovation and governance, AI’s responsible use in healthcare, and the need for sustainable, outcome-driven financial models.
Insights
Data Integration: The Data Gaps That Could Trigger Mass Disenrollments
Medicaid payers face growing audit and disenrollment risk. See how RGP helps build unified, audit-ready data systems that safeguard coverage.