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End-to-end payer core platform implementation, from readiness assessment through operational transformation.

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Payer

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Providers

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Our Latest Insights

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The State of Healthcare AI in 2026 
eBook
Artificial Intelligence

The State of Healthcare AI in 2026 

75 senior healthcare executives reveal where the industry really stands on AI. The ambition is aligned; the readiness is not. See the maturity gaps, investment…

Jun 1, 2026
The Agentic Evolution: The Payer’s Guide to the Next Automation Era 
eBook
Automation

The Agentic Evolution: The Payer’s Guide to the Next Automation Era 

Payers have hit the ceiling of rules-based automation. The next era is intelligent orchestration across claims, prior authorization, utilization management, and member service. Drawing on…

May 18, 2026
Managing the Margin Reset in Medicare Advantage
eBook
Strategy

Managing the Margin Reset in Medicare Advantage

The CY2027 Advance Notice isn’t a routine rate update. A near-flat base update, normalization pressure, revised sources-of-diagnoses policy, and encounter-based validation are collectively narrowing revenue…

Mar 2, 2026
The Five Levers That Win CY2027
eBook
Strategy

The Five Levers That Win CY2027

Medicare Advantage is entering a margin maturity phase. Rate pressures are intensifying, audit scrutiny is tightening, and the gap between top-quartile and average plans could…

Feb 27, 2026
CMS-0057: The Interoperability Imperative 
eBook
Interoperability

CMS-0057: The Interoperability Imperative 

CMS-0057 is redefining how health plans operate, not just what data they expose. With 2026 reporting requirements approaching and full API enforcement in 2027, payers…

Feb 24, 2026
Closing the AI ROI Gap in Healthcare
eBook
Artificial Intelligence

Closing the AI ROI Gap in Healthcare

Healthcare organizations are investing heavily in AI to improve operations, cut costs, and enhance patient care. But despite the promise, most initiatives fail to scale.…

Sep 9, 2025
Unlocking Trusted Digital Transformation in Life Sciences
eBook
Digital Transformation | Life Sciences

Unlocking Trusted Digital Transformation in Life Sciences

Life sciences organizations are advancing digital initiatives to accelerate innovation in R&D, diagnostics, and regulatory processes. But despite significant investment in AI, ML, and cloud…

Aug 22, 2025
Payers: Is Your Data Ready for AI? 
eBook
Artificial Intelligence | Data & Analytics | Payer

Payers: Is Your Data Ready for AI? 

Payers are handling massive volumes of data, but few are truly prepared to harness its power for AI transformation. This eBook offers a comprehensive look…

May 22, 2025
Bridging the Care Gap: Rethinking Member Connections in a Digital-First World 
eBook
Member Engagement

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

Are your digital tools truly connecting with your members—or just checking a box? Emids surveyed 789 health insurance members across Employer-Provided Plans (EPP), Direct Purchase…

Apr 4, 2025
HealthTech Trends for 2025 and Beyond
eBook
HealthTech

HealthTech Trends for 2025 and Beyond

HealthTech is evolving fast—are you ready? A post-Covid funding surge, a new administration, and groundbreaking technologies are setting the stage for innovation in 2025. In…

Feb 5, 2025
Healthcare Payer Trends Outlook 2025
eBook
Payer

Healthcare Payer Trends Outlook 2025

The healthcare payer landscape is evolving rapidly, shaped by technological advancements, regulatory shifts, and changing consumer expectations. In our 2025 Healthcare Payer Trends & Outlook,…

Jan 27, 2025
Reducing Medical Loss Ratio and Enhancing Member Care 
eBook
Payer | Strategy

Reducing Medical Loss Ratio and Enhancing Member Care 

Discover how BCBS organizations can reduce Medical Loss Ratio and enhance member care while managing rising healthcare costs and growing regulatory demands. This exclusive eBook…

Nov 22, 2024