Viewpoints Blog

Explore how payers, providers, and PBMs are moving AI from pilot projects to real operational impact. Learn the top use cases, barriers to scaling, and the key metrics and strategies driving successful AI adoption across the healthcare ecosystem.

Avalere Health experts discuss how they developed and deployed an analytic model to predict likely enrollment changes to assist clients in understanding the impacts on all lines of business as a result of upcoming federal policy changes.

Avalere Health explores the changes to provider tax provisions included in the One Big Beautiful Bill Act. The article discusses how it will impact state Medicaid funding, and its effects will be felt by plans and providers.

CMS released key Medicaid Part D bid information for CY 2026. Read Avalere Health's in-depth analysis to learn the key impacts.

Avalere Health and DRG Claims Management explore how Medicare Advantage plans must take a coordinated, organization-wide approach ahead of CMS' new risk adjustment data validation (RADV) strategy in a recent MHE article.

Avalere Health finds opioid use disorder costs businesses, governments, and households almost $1 trillion per year, but treatment with medications can lower costs.