Bridging the Care Gap: Rethinking Member Connections in a Digital-First World 

Rethinking Member Connections in a Digital-First World

A Survey Report on Evolving Member Expectations in Health Plan Engagement

Are your digital tools driving meaningful member engagement—or just checking a box?

In a fast-evolving digital healthcare landscape, payers are investing heavily in digital platforms to boost engagement with members—but are these tools truly connecting in ways that matter?

Emids surveyed 789 health insurance members across Employer-Provided Plans (EPP), Direct Purchase Plans (DPP), and Medicare Advantage Plans (MAP) to uncover insights that can help payers improve digital experiences, close care gaps, and boost long-term engagement.

What’s Inside the Report

This report is a must-read for payers seeking to understand and improve member engagement in digital health environments.

  • The most and least used digital features by health plan members
  • Key barriers to adoption and opportunities to close the care gap
  • Member preferences a cross different plan types
  • How health prioritization and chronic conditions influence ongoing member engagement
  • Segment-specific insights across Employer-Provided, Medicare Advantage, and Direct Purchase plans
  • Practical strategies for Payers to optimize and build more personalized, accessible digital experiences

Why This Matters

Health plans that align digital investments with member expectations see stronger engagement, better outcomes, and lower costs. This report helps you:

  • Identify what your members value most
  • Rethink how you deliver wellness and support digitally
  • Build a data-driven engagement roadmap across populations

About the Authors

Lorraine is the VP of UX Consulting at Emids and has been practicing in the field of User Experience for 20+ years. As part of her role, she provides strategic UX and business direction to digital and connected health companies and providers across the United States and Canada. The result of Lorraine’s commitment to solving customer problems is a unique ability to harmonize technology with the needs of people who use it. Lorraine’s goal is to make interactions with healthcare (services and technology) easier, satisfying and meaningful for all stakeholders involved – including patients.

Highly engaged in the healthcare industry, Lorraine has authored and contributed to countless articles, white papers, and events on the topics of user experience in healthcare, and in 2014 was appointed to a two-year term as chair of the HIMSS HIT User Experience Committee. As if she weren’t busy enough, this supermom regularly gets up at 5:30 am, does workouts that most of us would associate with Navy Seals, and runs half-marathons when she doesn’t find this tiring enough.

Solving complex problems is challenging and fulfilling – this is why I am devoted to solving complex problems because it keeps me motivated. I enjoy opportunities to apply human-centered approaches to improving systems and designing for all.

As a user experience researcher, I work with organizations to discover their target users’ latent needs and potential opportunities to achieve successful product adoption and users’ satisfaction. I am a proud member of the International Association of Accessibility Professionals (IAAP) and engage teams to carefully consider accessibility in product or service design.

HealthTech Trends for 2025 and Beyond

HealthTech Trends for 2025 and Beyond

The Future of HealthTech: Innovation, Efficiency, and Adaptability

2025 promises to be an exciting time in the HealthTech sector. A post-Covid surge in funding, a new US administration, and powerful new technologies combine to create the right conditions for innovation.

This ebook, “HealthTech Trends for 2025 and Beyond,” discusses the four most prominent trends we foresee for this new year—maximizing legacy systems, GenAI adoption, automation, and data standardization. Here, you’ll discover how the HealthTech sector is gearing up to face the challenge of delivering innovative and cost-effective solutions, managing today’s challenges while preparing for tomorrow’s opportunities.

What You’ll Learn: 

  • How to drive greater operational efficiency with AI-enabled workflows and integrated systems
  • How to maximize value from maturing product life cycles by incorporating Service Catalog-Based Support Models and Sustainability-Focused Optimization
  • Why high-performance engineering is key to achieving the trifecta of speed, resilience, and scalability
  • Why HealthTech providers who advance interoperability will lead the sector.

Why Read This eBook? 

The future of HealthTech lies in innovation and the ability to adapt. At Emids, we believe in empowering professionals like you to harness these emerging trends and make informed decisions. Whether you’re tackling inefficiencies, exploring GenAI, or navigating compliance challenges, our tailored solutions can help.

Download eBook Form:

The Authors

Bastian Davis is a seasoned executive with over 24 years of leadership experience in healthcare and technology. As the Senior Vice President of the Health Tech Business Unit at Emids, Bastian spearheads strategic partnerships with healthcare technology clients, driving innovation to deliver value and foster long-term success.

Bastian’s expertise spans digital transformation, data and analytics, automation, and customer experience, enabling client organizations to navigate complex challenges and achieve better outcomes. He has collaborated extensively with clients to institutionalize high-performance engineering practices, enhancing their ability to innovate and scale effectively.

At Emids, Bastian has held multiple cross-functional roles, including Client Solutions Head, CTO Office Leader, and Business Unit Leader. In these capacities, he has fostered win-win relationships and helped scale partnerships into true success stories. Prior to Emids, Bastian held senior leadership positions at Dell, HP Enterprise, and Wipro, where he led high-performing teams and solution organizations, achieving significant revenue growth, operational excellence, and high client satisfaction.

Throughout his career, Bastian has demonstrated a passion for solving client challenges by leveraging design-led, domain-driven engineering. His collaborative leadership style and results-oriented approach have established him as a trusted partner for clients seeking innovative and impactful solutions.

Bastian holds a Master’s degree in Computer Science and is an active contributor to thought leadership in health tech innovation.

Connect on LinkedIn

Healthcare Payer Trends Outlook 2025

HealthTech Trends for 2025 and Beyond

The Future of HealthTech: Innovation, Efficiency, and Adaptability

2025 promises to be an exciting time in the HealthTech sector. A post-Covid surge in funding, a new US administration, and powerful new technologies combine to create the right conditions for innovation.

This ebook, “HealthTech Trends for 2025 and Beyond,” discusses the four most prominent trends we foresee for this new year—maximizing legacy systems, GenAI adoption, automation, and data standardization. Here, you’ll discover how the HealthTech sector is gearing up to face the challenge of delivering innovative and cost-effective solutions, managing today’s challenges while preparing for tomorrow’s opportunities.

What You’ll Learn: 

  • How to drive greater operational efficiency with AI-enabled workflows and integrated systems
  • How to maximize value from maturing product life cycles by incorporating Service Catalog-Based Support Models and Sustainability-Focused Optimization
  • Why high-performance engineering is key to achieving the trifecta of speed, resilience, and scalability
  • Why HealthTech providers who advance interoperability will lead the sector.

Why Read This eBook? 

The future of HealthTech lies in innovation and the ability to adapt. At Emids, we believe in empowering professionals like you to harness these emerging trends and make informed decisions. Whether you’re tackling inefficiencies, exploring GenAI, or navigating compliance challenges, our tailored solutions can help.

Download eBook Form:

The Authors

Balajee brings over 25 years in driving strategic growth in entrepreneurial high growth settings across the United States and Europe.

Prior to Emids, Balajee was SVP and head of platform and technology at Highmark. Balajee also held several executive leadership positions at Cognizant for about 20 years, across India, US and Europe. Balajee is a seasoned technology leader with strong commercial, operations and technology experience, helping scale businesses and pivot business to enable digital transformation. Balajee’s background cuts across services, products and platforms.

Connect on LinkedIn

Sunil Kumar leads the Healthcare Blues Portfolio at Emids, driving strategic growth and trusted partnerships with leading payer organizations. With over 25 years in IT and deep domain expertise, he has built a high-performing team focused on delivering impactful, client-centric outcomes.

Known for his customer-first mindset and collaborative leadership style, Sunil empowers teams to solve complex challenges, foster innovation, and accelerate transformation. Before joining Emids, he helped shape client success and large-scale delivery programs across several global technology firms, bringing a broad perspective and deep industry insight to his role.

Connect on LinkedIn

Reducing Medical Loss Ratio and Enhancing Member Care 

HealthTech Trends for 2025 and Beyond

The Future of HealthTech: Innovation, Efficiency, and Adaptability

2025 promises to be an exciting time in the HealthTech sector. A post-Covid surge in funding, a new US administration, and powerful new technologies combine to create the right conditions for innovation.

This ebook, “HealthTech Trends for 2025 and Beyond,” discusses the four most prominent trends we foresee for this new year—maximizing legacy systems, GenAI adoption, automation, and data standardization. Here, you’ll discover how the HealthTech sector is gearing up to face the challenge of delivering innovative and cost-effective solutions, managing today’s challenges while preparing for tomorrow’s opportunities.

What You’ll Learn: 

  • How to drive greater operational efficiency with AI-enabled workflows and integrated systems
  • How to maximize value from maturing product life cycles by incorporating Service Catalog-Based Support Models and Sustainability-Focused Optimization
  • Why high-performance engineering is key to achieving the trifecta of speed, resilience, and scalability
  • Why HealthTech providers who advance interoperability will lead the sector.

Why Read This eBook? 

The future of HealthTech lies in innovation and the ability to adapt. At Emids, we believe in empowering professionals like you to harness these emerging trends and make informed decisions. Whether you’re tackling inefficiencies, exploring GenAI, or navigating compliance challenges, our tailored solutions can help.

Download eBook Form:

Sustainable Cost Optimization for Payers: Unlocking Efficiency and Growth in Healthcare

Sustainable Cost Optimization for Payers: Unlocking Efficiency and Growth in Healthcare

How Healthcare Payers can Boost their Cost Optimization Efforts

In an era where quick responses to regulatory changes and member needs are no longer a luxury but a necessity, payers across the healthcare landscape struggle to meet user needs while managing costs responsibly. The answer? Cost optimization.

Healthcare payers face growing pressures from rising operational costs, regulatory demands, and evolving member expectations. This eBook provides actionable insights on optimizing Medical Loss Ratios (MLR) by leveraging automation and modernizing legacy systems. Discover how to streamline your processes and future-proof your organization for sustainable growth.

Unlock your full potential and streamline your operations through automation and architecture modernization. Leverage low-code platforms and data consolidation to foster smarter decision-making—all while reducing costs and boosting productivity.

In this eBook, You’ll Learn:

    1. The Price of Operational Inefficiencies
      Key insights into how operational inefficiencies drain resources, hinder profitability, and prevent payers from optimizing their processes effectively.

    1. How to Break the Cycle of Technical Debt and Outdated Infrastructure
      Why modernizing your platform is a crucial step in the cost optimization journey.

    1. The Need for Data Consolidation and Accessibility
      How fragmented data spread can prove costly and risky, affecting everything from member services to compliance.

    1. Balancing Speed and Cost in Development Cycles
      How can payers adapt swiftly without escalating costs?

    1. Ensuring Quality in Operations and Member Experience
      Best practices for implementing Quality Engineering (QE) practices in your scaling framework.

Why Download This eBook?

    • Expert Guidance: Leverage insights from Emids’ 30+ years of experience in healthcare payer transformation.

    • Strategic Solutions: Learn actionable approaches to optimize and scale your core systems while keeping costs in control through Intelligent Automation, Platform Modernization, Quality Engineering and Low-Code Solutions.

    • Cost-Saving Opportunities: Identify ways to reduce costs while maintaining exceptional member service.

    • Industry-leading Insights: Our partnerships with top U.S. health plans and the impact we’ve had on over 40 million lives stand testimony to our commitment to innovation and excellence.

About Emids

With over 30 years in healthcare IT, Emids is a trusted partner for healthcare payers supporting their cost-takeout goals. Emids, where AI-driven engineering intersects with deep healthcare acumen, specializes in optimizing your business and enterprise costs, improving operational efficiency, and supporting growth with innovative technology solutions.

Download the eBook

Healthcare Payers at Risk: Fixing Broken Core Administrative Systems for Future Growth

Healthcare Payers at Risk: Fixing Broken Core Administrative Systems for Future Growth

Uncover Strategies to Transform your Core Administrative Systems

In an era where healthcare payers face increasing complexity, regulatory pressures, and the demand for personalized care, outdated core administrative systems (CAS) can become a costly liability. This comprehensive eBook explores the high cost of broken CAS and integration gaps that put payers at risk and offers actionable strategies to turn these challenges into growth opportunities. From market expansions to optimizing claims processes, learn how healthcare payers can thrive with streamlined operations and effective system integrations.

In this eBook, You’ll Learn:

  • Navigating Market Expansion Risks
    Strategies to expand into new markets without disrupting existing operations.
  • Integrating Best-in-Class Systems
    Key insights on aligning clinical, provider, and customer service systems with your CAS for a seamless member experience.
  • Optimizing Claims and Reporting Processes
    Techniques to minimize manual intervention, prevent claims processing delays, and improve data accuracy for better decision-making.
  • Enhancing and Upgrading Current Systems
    Best practices for upgrading CAS while avoiding inefficiencies and manual workarounds that slow down growth.
  • Transforming Infrastructure with Cloud Migration
    Key considerations for migrating to cloud solutions, ensuring compliance, security, and integration with legacy systems.

Why Download This eBook?

  • Expert Guidance: Leverage insights from Emids’ 30+ years of experience and 300+ CAS implementations.
  • Strategic Solutions: Learn actionable approaches to optimize, integrate, and scale your core systems.
  • Cost-Saving Opportunities: Identify ways to reduce operational costs by enhancing system efficiency and minimizing disruptions.
  • Competitive Edge: Gain the knowledge to confidently navigate regulatory requirements and implement best-in-class solutions.

About Emids

With over 30 years in healthcare IT, Emids is a trusted partner for healthcare payers looking to optimize their core systems. We specialize in transforming CAS platforms, improving operational efficiency, and supporting growth with innovative technology solutions.

Download the eBook

Optimizing Cloud Costs for Payers: The FinOps Way

Optimizing Cloud Costs for Payers: The FinOps Way

Download the eBook

Healthcare payers are facing growing pressure to optimize costs, improve operational agility, and maintain strict security and compliance standards. As organizations continue to migrate to the cloud, they often encounter challenges balancing these priorities while managing complex data migration, integration, and cost control.

Our comprehensive eBook explores proven approaches for payers to maximize the potential of their cloud environments. From cutting costs with advanced FinOps strategies to improving data access and safeguarding sensitive healthcare information, this guide provides actionable insights for building a scalable, efficient, and compliant cloud infrastructure.

Inside This eBook, You’ll Discover:

  • The critical components of a comprehensive cloud operating model
  • Strategies to implement robust financial governance for cloud operations
  • Best practices for ongoing cost optimization and recalibration
  • How to create a continuous FinOps loop for long-term success

Optimizing Cloud Costs: The FinOps Imperative for Healthcare

Optimizing Cloud Costs: The FinOps Imperative for Healthcare

In today’s digital era, healthcare organizations are at the forefront of technological transformation. As the adoption of cloud computing accelerates, driven by advancements in AI and machine learning, the need for strategic financial management becomes imperative.

Our eBook, ‘Optimizing Cloud Costs: The FinOps Imperative for Healthcare’, explores how organizations can develop financial discipline through Financial Operations (FinOps) and stay on top of their cloud cost.

Key Highlights

  • Reimagining IT Expenditures: Transition from traditional capital expenditures to a flexible, operational expense model. Explore the imperative of a robust FinOps strategy for healthcare organizations to effectively manage the costs of pay-as-you-go cloud model.
  • Addressing Healthcare-Specific Challenges: Navigate the unique hurdles of cloud adoption in healthcare, including variable demand, rapid scalability, and stringent data security requirements.
  • Harnessing Cloud Benefits: Leverage the cloud’s potential for rapid provisioning, cost efficiency, and operational agility to enhance patient care and service delivery.
  • Driving Innovation through Financial Governance: Discover the principles of continuous deployment, cost optimization, and proactive financial governance that maximize cloud investment value.
  • Implementing a FinOps Framework: Gain insights into establishing a FinOps model that aligns financial governance with cloud economics, ensuring every dollar spent contributes to strategic objectives.

Why This Matters to You

It’s important for healthcare technology leaders to understand the delicate balance between innovation and fiscal responsibility. This eBook offers a deep dive into the FinOps approach and provides the strategic insights needed to navigate the complexities of cloud cost management.

Unlock the full potential of your cloud strategy. Download the eBook to explore how FinOps can empower your organization to achieve operational excellence and drive sustainable innovation.

Download the eBook

Helping Healthcare Organizations Become More Data Intelligent

Helping Healthcare Organizations Become More Data Intelligent

There’s a massive amount of data being produced daily in the healthcare industry—especially as the market continues its trajectory towards digital. This data has the power to improve the patient experience, reduce costs and streamline operations across hospitals and health systems.

However, many healthcare organizations lack the tools to leverage their data to deliver better outcomes. Many are overwhelmed by the data deluge from different sources that needs to be consolidated to deliver high-impact analytics and results.

Download the eBook to learn how CoreLAKE’s unified data management platform helps you manage data more efficiently, relieving the burden of complex data connectivity, and enables you to focus on product development while concentrating on improving the patient experience, streamlining clinician workflows and driving superior patient outcome

Download the eBook