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Introducing the Ambulatory Specialty Model
Early detection and management of chronic disease can improve health outcomes for patients while also decreasing the overall cost of their care.
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Insights from Arcadia | Page 4
Read the latest articles with expert insights from leading voices in healthcare and data.
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Resource Hub for Payers
Discover how leading health plans are using data to reduce costs, boost Medicare Star ratings, and improve care. Arcadia’s latest survey of 100 payer executives reveals why complete member 360 profiles, strong provider...
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How to navigate performance improvement in healthcare
Whether operating under value-based care (VBC) contracts or traditional fee-for-service (FFS) models, improving care quality while managing costs is a major priority across the healthcare sector. As such, health systems...
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6 keys that drive success in value-based care
Discover how a balanced framework for value-based care — combining strategies to drive revenue with tactics to manage costs — can lead to real success in healthcare. Dr. Luke Hansen shares insights on contract design,...
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What the 2026 Medicare Advantage rate update means for payers and providers
The Centers for Medicare and Medicaid Services (CMS) finalized its 2026 Medicare Advantage (MA) rate notice, and it sends a clear signal: the agency is recalibrating expectations for the MA program. After two...
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The hidden dangers of AI confidence scores in healthcare
AI can serve as an invaluable tool, but blindly trusting “confidence scores” creates serious risks. Here are some better alternatives.
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5 forces disrupting healthcare performance today — and how to navigate them
The U.S. healthcare system is at a major inflection point. Healthcare organizations are navigating a fast-evolving landscape shaped by rising costs, tighter regulations, and accelerating digital transformation. Here,...
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Design high-performing healthcare networks with data
Network optimization is the process of recruiting and refining the right mix of providers within your network, from primary care physicians to specialists. It also means building the right coverage across all the...
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Four major hurdles to healthcare AI adoption (and how to overcome them)
AI has the potential to revolutionize healthcare, from comprehensive coding to patient outreach, but there are major barriers that prevent healthcare organizations from embracing this technology. In this article, learn...
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Healthcare interoperability: The key to seamless data, better care, and lower costs
Interoperability is the foundation of modern healthcare, driving better patient care, operational efficiency, cost reduction, and regulatory compliance. By adopting interoperability standards, healthcare organizations...
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Unify your teams and drive action with a common data narrative
Health plans today face increasing challenges to success. Data silos, disjointed teams, data security concerns, and a lack of insight into member populations and provider benchmarks threaten sustainable growth. To...
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3 actionable steps to turn healthcare data into action
Healthcare organizations are drowning in data but starving for insights. Fragmented systems, outdated benchmarks, and complex reporting processes make it difficult to act on critical information. How can healthcare...