Payers, Pharmacy Benefit Managers (PBMs), and Administrators
Regulatory requirements, marketplace dynamics, and the evolving competitive landscape are compelling health plans to transform their businesses and operating models. Health plans of the future will look dramatically different than they do today. Health plans that will win the marketplace will need consumer-oriented engagement and experience models, effective medical cost management solutions, and operationally efficient organizations and platforms. Investments in strategic partnerships, innovation engines, and the commercialization of capabilities will unlock growth and diversification opportunities to enable health plans to succeed in the ever-changing healthcare environment.