Oliver Wyman July 24, 2024
Jim Fields, Hailey Fowler, Ashish Kaura, Nikhil Sarathi, Chris Schrader, and Ben SobolewskiAuthors Jim Fields, Hailey Fowler, Ashish Kaura, Nikhil Sarathi, Chris Schrader, and Ben Sobolewski

A confluence of market forces, technological advancements, and evolving market dynamics are forcing health plans to rethink their strategies.

This article delves into five key market forces shaping the future of health plans and outlines strategies to navigate these changes effectively. We will dig deeper into these topics in the coming months.

1. Specialize or die

At Oliver Wyman, we asked the question: What drives health plan success in each health insurance segment?

Put differently, what causes one plan to win in Medicare Advantage and another to succeed in the Affordable Care Act, Managed Medicaid, or commercial group? We looked at the correlation of growth in each segment with several quantifiable factors and the most impactful was a plan’s level...

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