12 Healthcare Startups Backed by Tiger Global

Provider networks are one of the few levers that can tackle healthcare waste head-on. Here are four models worth understanding.

As CMS moves toward state-driven network adequacy oversight, health plans (especially multi-state issuers) may face growing complexity around provider data quality, access validation, and documentation standards.

The PY2027 NBPP final rule creates a clearer pathway for states to lead provider access reviews under a federally defined framework, with key implications for Exchange operations and network oversight execution.