MedCity News October 22, 2025
Nathan Paulsen

For payers, that means the work ahead is not simply contracting with virtual providers — it’s rebuilding the infrastructure that builds trust as members find the right care for them. Here are three elements that need rethinking.

Until now, access to healthcare has been geographic. In Minnesota, I often take the quality of our healthcare systems for granted, especially with the Mayo Clinic, one of the world’s best hospital systems, a short drive away. Historically, where a person lives, even down to the zip code they live in, dictates the level of access they have to quality care. For decades, our healthcare industry has structured benefits, networks, and member guidance around this geographical limitation of care.

But the past half-decade...

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