The CMS 2026 Program Audit Update: What I’m really hearing as a Chief Compliance Officer
When the 2026 Program Audit update landed, I didn’t read it as a checklist of changes. I’ve worked in healthcare […]
Insights & Perspectives
Build, Buy, or Own: How Payers Are Reframing Technology Decisions
The debate has evolved, from build vs. buy to own. For years, health plans have wrestled with the same technology
OBBBA: What Trump’s ‘One Big Beautiful Bill’ Act Means for PayersÂ
Inovaare Perspective | This article breaks down what the OBBBA really means for payers and why payer-focused cloud platforms like Inovaare are uniquely positioned to help health plans move from reactive to resilient.Â
Understanding the 2026 Medicare Advantage Rate Announcement
The Centers for Medicare & Medicaid Services (CMS) recently issued the much-anticipated 2026 Medicare Advantage (MA) Rate Announcement. This guidance
How policy changes for CY 2026 impact Medicare Advantage plans
CMS policy changes are putting new pressure on Medicare Advantage plans. From compliance and audits to revenue recovery, this blog breaks down what’s changing, what it means for payers, and how to respond with better data, automation, and oversight.
Interpretation of New Medicare Rules and Medical Loss Ratio (MLR)
The Centers for Medicare & Medicaid Services (CMS) has a myriad of rules for different administrative procedures for the Part
Transforming Health Plan Business Outcomes with AI Solutions
As health plans face mounting pressure to improve operational performance, optimize costs, and enhance member experiences, AI has emerged as
Medicare Advantage Trends and Insights for U.S. Healthcare Payers
Medicare Advantage (MA) is rapidly transforming the healthcare landscape, making it an essential area of focus for healthcare Payers. With
Our Key Takeaways from Gartner® Hype Cycle™ for U.S. Healthcare Payers, 2024 Report
The healthcare industry is continuously evolving and with technological advancements, payers seek innovative ways to optimize operations, reduce costs, and
HCSC Acquires Cigna’s Medicare Businesses and CareAllies
Health Care Service Corporation (HCSC) has entered into a definitive agreement to purchase Cigna’s Medicare Advantage, Medicare Supplemental Benefits, Medicare