The Second-Half Playbook: What Medicare Advantage Leaders Should Focus on Before MY2026 Ends
Most healthcare quality programs do not fail because of missing data. They fail because no one owns execution after gaps are identified.
Small execution failures can become major performance and revenue losses.
Listen to this episode
Audio coming soon
This episode covers
What You'll Learn
- Why identifying gaps is not the real problem
- Where retrieval, abstraction, and outreach break down
- Why fragmented workflows slow gap closure
- The difference between activity and actual execution
- What better operational ownership looks like
- How execution failures compound across a quality program
This episode breaks down the operational reasons healthcare quality performance stalls even when the insights already exist.
Operator Perspective
From the Field
After years leading payer-side quality operations and overseeing large-scale chart retrieval and abstraction programs, one pattern kept repeating: teams had data, but no system truly owned execution across the full gap closure lifecycle.
— Peter Saah, Host · The Execution Gap
Episode Breakdown
We're halfway through the MY2026 measurement year. At this point, the question isn't 'What's our strategy?' That should have been answered months ago. The real question is: Where should we focus the time and resources we have left? In this episode of The Execution Gap, Dr. Peter Saah explores why the second half of the Medicare Advantage measurement year is fundamentally different from the first — and why organizations that continue operating as if it's still January often leave performance on the table. This episode discusses the shift from building capacity to allocating scarce capacity, why activity is no longer enough, and how executive leaders should think differently about chart retrieval, abstraction, provider engagement, and operational priorities as year-end approaches. Key topics include: • Why the management problem changes at mid-year • Activity versus impact • Capacity versus allocation • Why not every chart carries the same value • How to prioritize remaining retrieval opportunities • The executive mindset needed to finish MY2026 strong One principle anchors the entire discussion: The first half of the measurement year builds capacity. The second half allocates scarce capacity.
Start Here
Best episodes for first-time listeners
Who This Episode Is For
Share This Episode
Share with a healthcare quality or operations leader.
Why This Matters
Execution failure is expensive. When quality teams cannot move from identified gaps to completed action, performance stalls, revenue is left on the table, and member and provider abrasion increases.
Get operator-level execution insights in your inbox
Practical breakdowns on HEDIS, Stars, chart retrieval, abstraction, outreach, and quality execution — written for people responsible for getting the work done.
Stay Informed
Get execution insights in your inbox
Operator-level breakdowns on HEDIS gap closure, chart retrieval, and quality execution — delivered when we publish.
No spam. Unsubscribe anytime.
No spam. Just practical insights for quality leaders, operators, and execution teams.
From Insight to Execution
See how this translates into execution
Podero helps plans operationalize what you just heard — across chart retrieval, abstraction, outreach, and evidence workflows.