While most providers are waiting on CMS, payers are already narrowing networks and rewriting delegation terms.Payers are quietly narrowing networks and rewriting delegation expectations. This playbook explains how to do business with MA business for 2026.If you’re waiting, you’re already reacting—not positioning.In this episode, Alex Yarijanian breaks down what’s actually showing up in payer conversations right now, long before final CMS rules are published. Drawing from real contracting, network, and delegation discussions, Alex explains why waiting for regulatory clarity is already costing providers and health tech companies leverage.You’ll hear how payer priorities have shifted from enrollment growth to margin durability, why network narrowing is accelerating quietly, how delegation has become a stress test, and what “value-based care” really means in Medicare Advantage today.This episode also outlines who is most at risk heading into 2026, the three types of organizations positioned to win, and what provider and health tech leaders should do in the next 90 days to stay relevant.Who should listen: Provider executives, payer leaders, value-based care operators, and health tech founders navigating Medicare Advantage.