The managed care space saw a number of regulatory and legislative developments in 2022 that are shaping the sector as we move further into 2023. Against this backdrop, the healthcare industry itself has continued to transform in response to the demand for improved patient care at lower costs, heightened focus on health equity, and other social and economic issues.
Our managed care team reviews updates across core managed care issues and delivers an overview of market trends, including:
State of Health System-Plan Joint Ventures
Risk Adjustment Data Validation (RADV) rule developments and other regulatory and legislative activity
Medicare Advantage Scrutiny
ERISA Preemption Developments
The authors wish to thank Mara McDermott for her contributions to this report.