By Christopher Kerns Margin challenges have been afflicting both plans and providers—in different ways but for interconnected reasons. And it’s worth reflecting on why this is true, and how unusual it is. Historically, the usual tug-of-war from the payment/revenue cycle tends to more favorable to payers or providers in any given year. But over the past two years, a strange quagmire has developed: health plans have struggled with outlays that have exceeded their internal actua

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