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Policy Brief | The-Academy-Advisors

TAA Data Atlas Q4 Series: Payer Dynamics ​

Graphic for the Data Atlas Q4 Series highlighting insights on commercial payers, prior authorization, and AI in healthcare.

Focus Area: Payer Dynamics​

Concerns surrounding healthcare affordability continue to dominate media headlines, research publications, and policy conversations. These narratives include pains borne by individual patients and hardships felt by employer sponsored plans and have recently brought focus to issues including medical debt, charity care policies, price transparency, site-neutrality, and other critical policy issues. At the core of these concerns is either a lack of understanding, or a pervasive misunderstanding (or a combination of the two) about the dynamics between providers and payers in the healthcare ecosystem. ​

The Data Atlas was made to be a versatile tool to deploy, reference, cite, and repurpose across various scenarios to provide greater clarity and education about commercial payers. The Atlas explores recent market statistics, research, and reports that highlight the relative sizes of commercial insurers and large health systems, and recent payer trends related to prior authorization, claim denials, and utilization of AI. ​

How to Use this Resource

  1. Support proactive and high-level policy conversations with journalists and policymakers on Capitol Hill. ​

  2. Repurpose key data insights into presentations, talking points, and written materials to support ongoing conversations and strategic engagements.​

  3. Deploy high-value data to bolster policy agendas and amplify conversations across broader advocacy channels.​

  4. Use data to lead strategy and shape advocacy plans with community leaders and key allies.​

If your organization is a member, you already have access.