Our Latest Insights

Show filters

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…

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…

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…

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…

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…

Modernizing Claims Operations with Agentic Automation
Webinar
Artificial Intelligence | Automation

Modernizing Claims Operations with Agentic Automation

Payers are dealing with rising claim volumes, more complex cases, and pressure to reduce administrative costs. Even with solid rules and bots, 15–20% of claims…

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.…

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…

AI Pilot to Production: 6 Barriers Preventing Payers from Scaling AI
Blog
Artificial Intelligence | Data & Analytics

AI Pilot to Production: 6 Barriers Preventing Payers from Scaling AI

Artificial intelligence (AI) holds tremendous potential for healthcare payers but realizing that potential hinges on one crucial factor: data readiness. In a recent webinar hosted…

Strategic Wellness Platforms and ROI: A Blueprint for Success 
Blog
Member Engagement | Payer

Strategic Wellness Platforms and ROI: A Blueprint for Success 

Rising healthcare costs and chronic illness are shrinking payer profits. This has payers exploring wellness platforms as a path to better health outcomes and long-term…

Modernizing Data Foundations for AI: How to Accelerate Value from Legacy to Cloud 
Webinar
Artificial Intelligence | Data & Analytics

Modernizing Data Foundations for AI: How to Accelerate Value from Legacy to Cloud 

Outdated data systems can limit the potential of AI. Join Emids and industry experts to explore practical strategies for moving from legacy systems to cloud-native…

Don’t Let Bad Data Sabotage Your AI Goldmine 
Blog
Artificial Intelligence | Data & Analytics

Don’t Let Bad Data Sabotage Your AI Goldmine 

The successful implementation of AI in healthcare presents several key hurdles that enterprises must overcome to unlock their full potential. This is especially true for…