Invisible Risk: How Data Gaps Quietly Undermine Compliance

The Most Dangerous Compliance Risks Are the Ones You Don’t See Coming Compliance failures rarely begin with a major mistake or a single bad decision. More often, they build up slowly inside day-to-day operations that feel manageable in the moment. It might be a spreadsheet, a reconciliation pushed to next week, or a report that’s […]
Health Plans Are Rebuilding Their Tech Stack Around Distribution, Not Homegrown Solutions

For years, health plans have relied on systems to manage distribution that were never designed for it. Sometimes those systems were off-the-shelf CRMs. More often, they were homegrown combinations of spreadsheets, legacy tools, and heavily customized software stitched together over time. These systems became the center of the tech stack not because they were the […]
Health Insurance Predictions for 2026: Less Margin for Error, Less Room for Guesswork

In our 2025 Year in Review, we saw clear signs that the economics of health plan growth were changing. This post looks at what those shifts mean heading into 2026 and where plans should expect conditions to tighten. Most of what will define 2026 is already in motion. Preparation will matter more than prediction. Premium […]
2025 Year in Review: The Year Health Plans Began Rebuilding Sales Distribution for Resilient Growth

At the end of 2025, a simple truth became clear. Growth is no longer driven by top-line enrollment volume. It now depends on the strength of a plan’s distribution infrastructure and its ability to manage agents, compliance, and operational workflows with precision. The CMS Final Rule, shifting Star Ratings, and significant Medicare Advantage exits have […]
Brokers, Business, and Big Gains: How Health Plans Can Drive Profitable Growth in a Rapidly Changing World

At this year’ Texas Association of Health Plans (TAHP) conference, I had the opportunity to moderate a panel discussion titled “Brokers, Business, and Big Gains: How Texas Health Plans Can Drive Profitable Growth in a Rapidly Changing World.” I was joined by industry leaders Cristin Hopkin-Bishop, Chief Operating Officer at The Brokerage Inc.; Kari Klass, […]
Inside Abacus — Why We Built It and What It Changes for Health Plans

Insuring Growth explores the biggest challenges and opportunities facing health insurance leaders, focusing on what executives need to know now. In our latest episode of Insuring Growth, I sat down with Kyle Mitchell, our VP of Product, to talk about one thing at the center of every plan’s growth challenges: distribution. For years, plans have invested […]
Dr. Makayla Lavender Explains How 2026 Policy Changes Will Redefine Open Enrollment

Insuring Growth explores the biggest challenges and opportunities facing health insurance leaders, focusing on what executives need to know now. As 2026 approaches, policy shifts are set to transform the ACA marketplace and Medicaid, creating ripple effects across the health insurance ecosystem. In Episode #3 of Insuring Growth, host and e123 President, Brendan McLoughlin, talks with […]
Meet Abacus: The Growth Engine for Health Plan Sales Distribution

Health plans have spent decades optimizing for operations and not growth. Disconnected systems, manual commission processes, and inconsistent reporting have left Sales, Operations, and Finance teams working in silos, while agents and brokers are disengaged and frustrated. While the industry has perfected claims, billing, and compliance systems, when it comes to managing agents, brokers, and […]
e123 Launches Abacus — The Growth Engine for Health Plan Sales Distribution

e123, the leading health insurance distribution management platform, announces the launch of Abacus — a next-generation commissions and sales distribution solution built to help health plans accelerate performance, eliminate front-office friction, and gain complete visibility across their agent broker networks. Designed specifically for the health insurance market, Abacus unifies agents, brokers, and commissions in one […]
How 2026 Will Reshape Open Enrollment for Agents

For more than a decade, brokers and agents have adapted to steady changes in the Affordable Care Act (ACA) marketplace. Deadlines shifted, subsidy structures evolved, and new compliance requirements arrived in waves. But January 2026 represents something different — not just incremental adjustments, but a structural shift in how agents will experience open enrollment. This […]