Listen "Inside the ACA Investment Playbook: Key Moves for Health Plans in 2026"
Episode Synopsis
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.
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.
More episodes of the podcast Regulatory Joe
Staffing Your Health Plan for ACA Success
02/07/2025