by Kaitlyn O'Grady | Dec 9, 2025 | End of year Go-Live, Implementation, Insights, Leadership, Payer Organizations, Resources, Uncategorized
A CEO Perspective on Leading Through Today’s Relentless Complexity Organizational resilience in healthcare has never mattered more — especially for payer executives navigating MLR volatility, modernization fatigue, regulatory churn, and team burnout. If you’ve felt...
by Kaitlyn O'Grady | Nov 25, 2025 | End of year Go-Live, Implementation, Insights, Leadership, Payer Organizations, Team Coaching, Uncategorized
When a large payer initiative hits turbulence, the boardroom quickly becomes a place for tough but necessary conversations. Most executives aren’t there because they mismanaged something — they’re there because they care about doing what’s right for the organization...
by Kaitlyn O'Grady | Aug 6, 2025 | Implementation, Payer Organizations, Uncategorized
CMS-0057-F isn’t just another compliance requirement — it’s a two-year transformation in how payers operate. The first wave hits January 1, 2026. The second follows in 2027. To help you prepare, we created the CMS-0057-F Business & Operational Primer — designed...
by Kaitlyn O'Grady | Apr 1, 2025 | Implementation, Insights, Leadership, Payer Organizations, Project Management, Uncategorized
ClearCore Insights recently had the opportunity to join forces with Itiliti Health for a dynamic conversation about one of the most pressing challenges in healthcare today: prior authorization reform. Hosted by Itiliti Health as part of their 2025 Prior Auth...
by Kaitlyn O'Grady | Nov 26, 2024 | Change Management, Implementation, Uncategorized
Your health plan has invested significant time and resources evaluating and selecting a top-tier enterprise technology designed to transform your organization. It promised streamlined operations, improved member satisfaction, regulatory compliance, and the ability to...
