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Are Health Plans Ahead or Already Behind in 2026 Planning?

  • By mfontaine
  • January 7, 2026
  • 286 Views

As payer organizations head into 2026, we’re hearing the same themes from clinical, IT, and operational leaders across the country:

  • Capacity is tight
  • Execution risk is increasing
  • Teams are being asked to do more — with less room for error
  • And the pressure to deliver measurable outcomes has never been higher

The reality is simple: Organizations that wait until Q2 to stabilize operations, add capacity, and tighten execution rhythm are already behind.

Below, we’ve summarized the most consistent patterns we’re seeing across the market — and what the highest-performing plans are doing now to start the year strong.

If you’d like perspective on where your organization sits compared to others in the market or support accelerating execution our team is always happy to have a conversation. Connect with us here.