e123

Most of what we publish focuses on how health plans grow. But in 2026, growth is only half the story. When the individual market contracts, health plans and carriers face a different challenge: protecting revenue, retaining members, and doing more with le

For the CY2027 reporting cycle, Medicare Advantage and Part D organizations tell CMS whether they use employed, captive, or independent agents and brokers. Organizations using independent agents also report the initial and renewal compensation amounts or

Integrated care continues to be one of the most important areas of growth in Medicare Advantage. Dual Eligible Special Needs Plan (D-SNP) enrollment grew from 2.2 million in 2018 to 5.8 million in 2024, according to KFF. By early 2025, roughly 44% of all

Annual Enrollment Period (AEP) is the highest stakes sales period of the year for Medicare Advantage plans. From October 15 through December 7, health plans have only eight weeks to activate their distribution networks, support thousands of agents, proces

Most of the coverage of the CY2027 Medicare Advantage Final Rule has focused on what changes for agents and brokers. But health plans have a different question to answer: What do these changes mean for the systems and processes responsible for managing th

PACE programs serve some of the most complex populations in health care. The Program of All-Inclusive Care for the Elderly helps eligible older adults receive coordinated medical and social services while continuing to live in the community when possible.

Commission operations are often treated as an administrative function. For Medicare Advantage plans, that is a mistake. Commissions shape agent confidence, partner trust, internal efficiency, compliance risk and exposure, and the plan's ability to grow th

As Medicaid managed care organizations expand into Medicare Advantage and Dual Eligible Special Needs Plans (D-SNPs), success depends on more than benefit design. Building a scalable, compliant agent and broker operation is becoming a critical competitive

Field marketing organizations (FMOs) and agencies play a major role in how health plans grow. They help plans reach new markets, activate agent networks, support enrollment, and build stronger relationships with brokers and members. For Medicare Advantage

Regional and rural markets remain some of the most important growth opportunities for health plans and carriers These communities are often underserved and rely heavily on trusted local relationships. For many plans, they represent a meaningful path to st