The State of Managed Care: What Health Plans Must Get Right in 2026

The State of Managed Care: What Health Plans Must Get Right in 2026

Managed care organizations are navigating increasing complexity as policy changes, funding pressures and rising member needs reshape the healthcare landscape. In this episode of Soaring to New Health, Highmark Wholecare leaders Victor Fields and Joe Glinka discuss the operational realities facing Medicaid and D-SNP organizations and what it takes to execute successfully in today’s evolving environment.

From Strategy to Scale: Why Growth Breaks Without Execution

In this episode of Soaring to New Health, Dan Crogan sits down with Dave Gaspar and Dr. John Poczatek of Smile Partners to discuss the realities of growth in today's dental industry. From acquisitions and integrations to change management and clinical autonomy, they share lessons on what separates sustainable growth from growth that creates friction. ProspHire Dental Practice Leader Luke Laurin adds perspective on the operational and technology challenges organizations face as they scale. Together, they explore how successful organizations grow without losing sight of their people, patients or purpose.

Stars as a Protection Strategy

The Medicare Stars program is changing and the strategies that worked in the past may not be enough moving forward. In this episode, Bill Rayball of Highmark Health and ProspHire’s Andrew Bell discuss the program’s evolution, the growing importance of clinical outcomes and what health plans must do now to protect performance in an increasingly complex environment

Behavioral Science: Why Good Ideas Fail in Healthcare

Healthcare organizations don’t struggle because they lack strategy. They struggle because change doesn’t stick. In this episode of Soaring to New Health, we sit down with Michael Meadows, Managing Partner for Strategy & Performance at Limetree, to explore why healthcare transformation efforts fail and what behavioral science can teach leaders about designing change people actually adopt.

Compliance as Infrastructure, Not Overhead

Compliance isn’t just a checkbox—it’s the foundation that determines how healthcare organizations grow, scale, and withstand scrutiny. In this episode, we explore what breaks when compliance is reactive, and how embedding it into operations from the start can accelerate performance, reduce risk, and enable smarter transformation.