Health Community: The Payer Landscape in Transition: Transparency, Incentives, and What Comes Next

Jeff Dunn, President and CEO of Cooperative Benefits Group, joins host Ankit Nanda, FSA, MAAA, FCA, to map the U.S. payer landscape and the forces reshaping it. Drawing on a career that runs from managed care pharmacy into benefits consulting, he sets out how employers, health plans, pharmacy benefit managers, providers, and consultants fit together, where incentives genuinely align and where they only appear to, and what the fiduciary and transparency environment means in practice. The conversation closes on where the market is heading over the next three to five years and what health actuaries should do differently in trend, pricing, and plan design work.