The Shift to Value: How Payers Are Adapting to Rising Costs

As financial pressures intensify across healthcare, payers are being forced to rethink traditional strategies and accelerate their transition to value-based care.

In this episode of Value-Based Care Insights, ECG partner Joe Mangrum joins host Daniel Marino to explore how rising medical costs, tightening Medicare Advantage margins, and evolving regulatory expectations are reshaping payer decision-making.

Key Takeaways

  • Payers are accelerating the move to value-based care to address rising costs, regulatory pressure, and margin compression across key programs like Medicare Advantage.
  • Strategic, high-performance partnerships are replacing broad networks, with a focus on data-driven decisions and measurable outcomes.
  • Collaboration and data sharing are critical to success, enabling stronger risk stratification, aligned incentives, and more effective management of total cost of care.

Presenters

Joe Mangrum

Partner

Daniel J. Marino

Principal

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