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Inside the ACA Investment Playbook: Key Moves for Health Plans in 2026

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Manage episode 490783925 series 3591484
Content provided by ClearFile. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by ClearFile or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

In this episode of Regulatory Joe, Penstock’s Joe Boyle outlines how health plans can make smart, scalable ACA investments now to capture market share in 2026, 2027 and beyond.

Whether you're a new issuer or optimizing your current ACA portfolio, this playbook covers the three most critical pillars:
– Network development (build vs. rent decisions)
– Service operations (in-house vs. offshore strategy)
– Competitive intelligence (why it must be continuous, not episodic)

Joe also discusses non-financial investments that are often overlooked, including codified business processes, SERFF expertise, and interdepartmental coordination—all essential for regulatory success and long-term growth.

📌 Key Topics Covered:

ACA marketplace growth trends and issuer opportunity

Financial vs. non-financial investment strategies

What a smart "build vs. buy" analysis looks like

How competitive intel should shape your plan design

Timing, staffing, and infrastructure tips for entering new markets

Don’t fall behind on ACA strategy. Get clear, actionable insights from someone who’s helped dozens of health plans grow their QHP footprint.

  continue reading

22 episodes

Artwork
iconShare
 
Manage episode 490783925 series 3591484
Content provided by ClearFile. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by ClearFile or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

In this episode of Regulatory Joe, Penstock’s Joe Boyle outlines how health plans can make smart, scalable ACA investments now to capture market share in 2026, 2027 and beyond.

Whether you're a new issuer or optimizing your current ACA portfolio, this playbook covers the three most critical pillars:
– Network development (build vs. rent decisions)
– Service operations (in-house vs. offshore strategy)
– Competitive intelligence (why it must be continuous, not episodic)

Joe also discusses non-financial investments that are often overlooked, including codified business processes, SERFF expertise, and interdepartmental coordination—all essential for regulatory success and long-term growth.

📌 Key Topics Covered:

ACA marketplace growth trends and issuer opportunity

Financial vs. non-financial investment strategies

What a smart "build vs. buy" analysis looks like

How competitive intel should shape your plan design

Timing, staffing, and infrastructure tips for entering new markets

Don’t fall behind on ACA strategy. Get clear, actionable insights from someone who’s helped dozens of health plans grow their QHP footprint.

  continue reading

22 episodes

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