As payer organizations head into 2026, we’re hearing the same themes from clinical, IT, and operational leaders across the country: 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 […]
Read MoreDisclaimer: This article is for informational purposes only and does not constitute legal advice. Always consult qualified immigration counsel for your specific situation. When news of the $100,000 fee for H-1B visas broke, most coverage and immediate concern focused on big tech and IT companies. But for health plans and managed care organizations, this policy […]
Read MoreAt Impresiv Health, we see one challenge come up again and again: staffing decisions are being made without a clear understanding of capacity. Too little capacity creates compliance risk, backlogs, burnout, and member dissatisfaction. Too much capacity strains budgets and erodes margins. The real challenge isn’t just getting staffing “right.”It’s understanding how much operational capacity […]
Read MoreHow do you balance regulatory compliance, member outcomes, and operational efficiency—while keeping administrative costs under control? For health plan leaders, the mandate is clear: improve outcomes, stay compliant, and reduce administrative cost. Yet one of the biggest opportunities to achieve this often sits right in front of us—the care management platform. Whether it’s ZeOmega Jiva, […]
Read MoreShared by Dr. Jerry Osband, Former Chief Medical Officer for EXL and Member of the Impresiv Health Executive Advisory Board As described in previous articles, Population Health Management (PHM) is a key driver of reducing clinical and financial risk while improving health outcomes for healthcare organizations. We’ve already described the key components of PHM and […]
Read MoreAfter more than a decade working in healthcare IT, supporting payers, providers, and state programs through major system overhauls, I’ve learned that success isn’t just about the technology. In fact, more often than not, it’s the human systems that falter. You can have a brilliant platform, well-documented requirements, and a big-name vendor behind you, but […]
Read MoreOperational Readiness Can’t Wait for the Forecast Disaster season isn’t just about weather- it’s about operations. When a storm hits, your ability to meet touchpoints, deliver medications, or conduct face-to-faces isn’t just disrupted- it becomes a compliance risk. Medicaid plans in particular are feeling the squeeze. With smaller teams, tighter budgets, and higher acuity, most […]
Read MoreAs a resident of Florida and CEO of a company headquartered in Central Florida, I’ve had to build up a tolerance for the heightened concern for my family, friends, community, and employees every hurricane season. These concerns are alleviated momentarily each time a storm veers away, only to restart with the approach of the following […]
Read MoreA Strategic Approach to Optimize Efficiency and Improve Member Outcomes By Amy Gasbarro, President of ELMCRx and Member of the Impresiv Health Executive Advisory Board In today’s dynamic healthcare landscape, health plans face increasing challenges to deliver high-quality care while managing costs effectively. Outsourcing care management functions to specialized organizations such as Impresiv Health has […]
Read MoreNCQA has announced a critical update that goes into effect on July 1, 2025—and if your organization is NCQA-certified in Credentialing (CR) or Utilization Management (UM), this is a change you can’t afford to overlook. What was once a narrow set of “system control” requirements is now evolving into a broader and more comprehensive standard: […]
Read More
