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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 gains, but many payers struggle to see ROI. The market is crowded—with established brands, niche apps, and influencers all competing for attention. To succeed, insurers must define a clear, strategic […]

eBook

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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 into how payer organizations are navigating the challenges of AI adoption and what it takes to establish a strong data foundation. Unlock expert insights from Emids and start building a trusted foundation for AI in your organization.

Blog

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Member Engagement

Payer

Digital for All: Why Accessibility Is the Missing Link in Member Engagement 

It’s no secret amongst payer executives that digitally engaged members are more likely to schedule preventive care appointments, adhere to prescribed treatments, and are more likely to avoid costly emergency interventions and experience better health outcomes, overall. This enables payers to also reap substantial benefits – particularly in efficiency, cost management, and long-term profitability.  As […]

eBook

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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, we cover actionable insights to navigate these transformations, enhance member experiences, and drive operational excellence. Whether you’re strategizing for the year ahead or looking to stay competitive, this report provides the intelligence you need.

eBook

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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 by Emids offers actionable strategies across five key pillars—operational efficiency, MLR optimization, interoperability, member engagement, and compliance. Learn how to optimize costs, improve member satisfaction, and drive sustainable growth.

Blog

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Artificial Intelligence

Low-Code

Payer

Bridging Cost Optimization and Innovation with Low-Code and AI

Healthcare payers face the dual challenge of enhancing member services while reducing operational costs in an ever-evolving tech landscape. While many turn to digital solutions, such transformations can be costly and time-consuming. At Emids, we help you leverage low-code platforms to unlock AI’s potential, streamlining operations and improving care delivery—faster and at a fraction of […]

Blog

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Digital Transformation

Low-Code

Payer

Low-Code, High Impact: Transforming Payer Operations and Member Engagement 

For payers, the balance between operational efficiency and rapid innovation has always been a delicate one. Traditional development approaches can be slow, costly, and inflexible, creating a gap between what payers aspire to deliver and what current processes allow. Low-code platforms, however, offer a transformative solution—an approach that promises not only to close this gap […]

Blog

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Generative AI

Payer

Generative AI in Payer Operations: Reshaping Efficiency and Member Satisfaction

As health plans look to implement, optimize, or modernize their core administrative platforms and integrated systems, Generative AI presents a compelling opportunity to drive efficiency and elevate customer satisfaction. But what exactly is Generative AI, and how can payers harness its capabilities to enhance their operations?  Once considered a cautious tech adopter, healthcare today is […]

Blog

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Automation

Payer

Transforming Healthcare Payer Operations with Intelligent Automation 

Healthcare payers face mounting challenges as they strive to meet regulatory requirements, manage costs, and maintain quality service. Regulatory changes and the recalibration of Star ratings by CMS directly impact revenue streams and reputational standings. Meanwhile, healthcare costs continue to rise due to medical inflation and increased service demand, putting further strain on operational budgets.  […]

Blog

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Core Platforms

Payer

Optimizing Claims Workflows: Are Inefficiencies Costing Your Health Plan Money?

How Well Do You Know Your Data? Is It Costing You Money? Health plans operate in a complex environment where every claim tells a story. But how well do you truly understand that story? The reality is that inefficiencies in claims processing could be costing you more than you realize. Start by evaluating key metrics: […]

eBook

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Payer

Strategy

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

Healthcare payers face mounting challenges balancing rising costs, regulatory demands, and member expectations. Learn how to optimize Medical Loss Ratios (MLR), modernize outdated systems, and consolidate data for smarter decision-making. Packed with insights from Emids’ 30+ years of healthcare transformation expertise, this eBook provides the tools to future-proof your organization and drive sustainable growth.

eBook

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Core Platforms

Payer

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

Discover how healthcare payers can overcome outdated CAS challenges, streamline operations, and turn integration gaps into growth opportunities. This exclusive eBook by Emids offers actionable strategies for market expansion, claims optimization, and system upgrades to drive efficiency and ensure compliance.

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