HighRoads

With potential changes to Medicaid funding, ACA subsidies, and cost-containment efforts, health plans need to be ready for a shifting landscape. Key focus areas: 👉 Coverage & Funding: Possible Medicaid and ACA subsidy changes could reshape enrollment and risk pools.  👉Regulatory Flexibility: States may take a bigger role in defining healthcare programs.  👉Cost & Efficiency: Drug pricing, fraud prevention, and automation will be key levers for sustainability. Staying ahead means scenario-planning, optimizing operations, and preparing for change. PwC’s latest report offers sharp insights—worth a read. https://lnkd.in/e9rbdfzA #HealthPlans #ScenarioPlanning #IndustryInsights 

When it comes to healthcare, health plans are ensuring easy and affordable access to it. But delivering that access isn’t simple—it’s shaped by policy, technology, and market shifts.  In our recent webinar, Elena McFann and Jeff Yaniga shared insights on 3 critical challenges shaping health plans today and what “great” leaders are doing differently: 1. 𝐓𝐡𝐞 𝐆𝐫𝐨𝐰𝐢𝐧𝐠 𝐖𝐚𝐯𝐞 𝐨𝐟 𝐌𝐞𝐝𝐢𝐜𝐚𝐫𝐞 𝐀𝐝𝐯𝐚𝐧𝐭𝐚𝐠𝐞 𝐒𝐰𝐢𝐭𝐜𝐡𝐢𝐧𝐠: In a world where members have more choices, prioritizing member retention is critical, and health plans are looking to strategies that: ✅Design member-centric, sustainable plans that drive long-term loyalty ✅Use automation and a single source of truth to control operational costs and ensure accurate, timely member communication ✅ Make it simple for members to access care and understand what’s covered—before they even ask 2. 𝐌𝐞𝐦𝐛𝐞𝐫 𝐒𝐚𝐭𝐢𝐬𝐟𝐚𝐜𝐭𝐢𝐨𝐧—𝐓𝐡𝐞 𝐀𝐥𝐢𝐠𝐧𝐦𝐞𝐧𝐭 𝐓𝐡𝐚𝐭 𝐃𝐫𝐢𝐯𝐞𝐬 𝐑𝐞𝐚𝐥 𝐂𝐡𝐚𝐧𝐠𝐞: To strengthen member engagement, health plans are: ✅Investing in automation to simplify enrollment, ID cards, and benefit updates ✅Creating seamless experiences so members always know what’s covered and how to access care ✅Building a culture of accountability that drives better results for both the organization and its members 3. 𝐓𝐡𝐞 𝐔𝐧𝐜𝐞𝐫𝐭𝐚𝐢𝐧𝐭𝐲 𝐨𝐟 𝐚 𝐍𝐞𝐰 𝐀𝐝𝐦𝐢𝐧𝐢𝐬𝐭𝐫𝐚𝐭𝐢𝐨𝐧—𝐖𝐡𝐲 𝐒𝐜𝐞𝐧𝐚𝐫𝐢𝐨 𝐏𝐥𝐚𝐧𝐧𝐢𝐧𝐠 𝐢𝐬 𝐂𝐫𝐢𝐭𝐢𝐜𝐚𝐥: With every election cycle, health plan leaders know change is coming. The question isn’t if policies will shift—it’s how quickly and in what direction. Health plans are already investing in scenario planning, asking: ✅What policies have the potential to change? How do we prioritize these? ✅What strategies will allow us to pivot and win for the various scenarios? ✅How do we stay ahead of regulatory shifts before they impact us? Want to hear more about how industry leaders are tackling these challenges? 𝐖𝐚𝐭𝐜𝐡 𝐭𝐡𝐞 𝐨𝐧-𝐝𝐞𝐦𝐚𝐧𝐝 𝐰𝐞𝐛𝐢𝐧𝐚𝐫 𝐧𝐨𝐰. 👇 https://lnkd.in/eazKqPGi

🙌 Exciting opportunity to join the Team at HighRoads! We are currently hiring for a Platform Solution Specialist -- a key role in understanding client needs and designing solutions that address challenges and drive business success. Learn more and apply: https://lnkd.in/e7bzc2kj #Hiring #Jobopportunity #HighRoadsEverywhere

🙌 Exciting opportunity to join the Team at HighRoads! As we continue to evolve and focus on delivering value to our health plan clients, we're looking for talented professionals to join our team. We are currently hiring for a Platform Solution Specialist -- a key role in understanding client needs and designing solutions that address challenges and drive business success. Learn more and apply here: https://lnkd.in/ee3NqwY5 #Hiring #Jobopportunity #HighRoadsEverywhere

Today’s the day! 𝐉𝐨𝐢𝐧 𝐮𝐬 𝐭𝐨𝐝𝐚𝐲 𝐚𝐭 2:00 𝐏𝐌 𝐄𝐒𝐓 and explore current trends and strategies to navigate the evolving healthcare landscape and drive meaningful change. This is your opportunity to learn directly from healthcare leaders who have faced the challenges you’re tackling today. Haven’t registered yet? There’s still time! https://lnkd.in/eFpJQNEt

Webinar tomorrow! There is still time to register! 👇 https://lnkd.in/eFpJQNEt

Join our upcoming webinar with Elena McFann and Jeff Yaniga, industry leaders who have successfully tackled some of our industry's biggest challenges—from regulatory shifts to operational efficiencies and member engagement. What you’ll learn:  -- The top healthcare trends shaping the future   -- How to optimize performance and improve business outcomes Don’t miss this opportunity -- Register now! 👇 https://lnkd.in/eFpJQNEt Navigating healthcare’s evolving landscape requires innovative strategies, data-driven decisions and a pulse on emerging trends. Our expert speakers bring real-world insights to help you stay ahead. 𝐑𝐞𝐠𝐢𝐬𝐭𝐞𝐫 𝐭𝐨𝐝𝐚𝐲! #webinars #healthplanleaders #emergingtrends

Join our upcoming webinar with Elena McFann and Jeff Yaniga, industry leaders who have successfully tackled some of our industry's biggest challenges—from regulatory shifts to operational efficiencies and member engagement. What you’ll learn:  -- The top healthcare trends shaping the future   -- How to optimize performance and improve business outcomes Don’t miss this opportunity -- Register now! 👇 https://lnkd.in/eFpJQNEt Navigating healthcare’s evolving landscape requires innovative strategies, data-driven decisions and a pulse on emerging trends. Our expert speakers bring real-world insights to help you stay ahead. 𝐑𝐞𝐠𝐢𝐬𝐭𝐞𝐫 𝐭𝐨𝐝𝐚𝐲! #webinars #healthplanleaders #emergingtrends

Starting the year strong—together! Our annual onsite brought our team together from 10+ states and 2 countries for a week of collaboration, innovation, and connection—and we were thrilled to welcome six new team members into the mix (including Melanie Boutot, R. Matt Clark, R. Scott Reid, and Lauren Rust, MBA) ! From brainstorming sessions to team-building moments, events like this reinforce that our people are our greatest strength. Our shared passion and commitment to working together drive our success—both in and outside the office. Excited for everything we’ll accomplish this year! 💡 #CompanyCulture #Teamwork #HighRoadsEverywhere

🚀 Join Our Engineering Team in Belfast! At HighRoads, our Engineering Team is driving innovation for health plans—building scalable front-end and back-end solutions that power exceptional user experiences. We’re hiring a Junior Software Engineer or Software Graduate to join our team in Belfast! If you're passionate about developing innovative solutions and growing your career in a dynamic, collaborative environment, we’d love to hear from you. Apply now or learn more below! 👇 https://lnkd.in/gpxHSV_J #Hiring #SoftwareEngineering #TechCareers #BelfastJobs