What the CY2027 Final Rule Changes for Health Plan Agent Oversight

Most of the coverage of the CY2027 Medicare Advantage Final Rule has focused on what changes for agents and brokers. But health plans have a different question to answer: What do these changes mean for the systems and processes responsible for managing the distribution channel? The short version is that CMS is reducing some of […]
Why Commission Operations Are a Growth Issue for Medicare Advantage Plans

Commission operations are often treated as an administrative function. For Medicare Advantage plans, that is a mistake. Commissions shape agent confidence, partner trust, internal efficiency, compliance risk and exposure, and the plan’s ability to grow through the broker channel. When commission processes are clear and accurate, agents can focus on helping members. Partners can trust […]
Why Regional Health Insurance Markets Require More Than a Bigger Sales Push

Regional and rural markets remain some of the most important growth opportunities for health plans and carriers These communities are often underserved and rely heavily on trusted local relationships. For many plans, they represent a meaningful path to stronger market presence, deeper member reach, and more durable growth. But growth in these markets is […]
How High-Performing Health Plans Are Optimizing Their Insurance Sales Distribution in 2026

The health insurance market is rapidly changing. Premium pressure, regulatory complexity, broker consolidation, and rising administrative costs are not new conversations for health plan leaders. They are the operating reality. What separates plans that grow in this environment from those that stall is not strategy alone. It’s execution. And execution lives inside distribution operations. Growth […]
What Health Plans Need to Fix Isn’t What Most People Think

What Health Plans Need to Fix Isn’t What Most People Think At Medicarians this year, one session stood out for a simple reason: It didn’t try to predict the future. It focused on what’s actually breaking today. Hosted by Brendan McLoughlin, the panel, “Health Plans on the Brink: When Giants Fall and Regionals Fight to […]
How Better Data Turns Policy Chaos Into Strategic Advantage

Every health insurance leader knows the moment. Open enrollment ends. January begins, and suddenly the questions arrive faster than the answers: Why don’t these enrollment numbers match? Which products actually performed, and where? Why are commissions still being reconciled weeks later? Can we trust what we’re seeing? This is when growth stops feeling exciting and […]
From Managing Risk to Designing It Out: The System Architecture Advantage

Imagine this: Your compliance team just finished another 60-hour week reconciling commission data for CMS. They found the discrepancies (again). Fixed them (again). And they’ll do it all again next quarter. In our previous post, Invisible Risk: How Data Gaps Quietly Undermine Compliance, we explored how compliance risk actually forms from within health insurance distribution. […]
ACA & Medicaid Face a Major Shift in 2026: What Health Plans Must Do to Protect Growth

ACA & Medicaid Face a Major Shift in 2026: What Health Plans Must Do to Protect Growth This article is based on Episode #3 of Insuring Growth, featuring Dr. Makayla Lavender, Health Economist and Professor at UNLV. Open enrollment is about to get harder, not because demand is changing, but because the rules are. In […]
What We Heard at the NABIP California Innovation Expo: Data, Distribution, and the Future of Benefits

e123 was proud to serve as a platinum sponsor of the NABIP California Innovation Expo in San Diego in February 2026. e123 president Brendan McLoughlin spoke on the Innovation Panel alongside Dawn McFarland, President of CAHIP and agency owner at MNM Benefits, and Manuel Alcaine, Founder of ClaspAI, a benefits administration management platform. Together, they […]
Champion Health Plan’s Bold Approach to Medicare Advantage

Champion Health’s approach to thriving C-SNPs