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HealthTech
Product Engineering
From Speed to Scale: Why High-Efficiency Engineering Is Critical for HealthTech Growth
HealthTech leaders today face a growing set of pressures: shorter product cycles, increasing compliance demands, and the constant push to innovate while ensuring system resilience and scalability. In this environment, engineering teams are not just building software—they’re driving business performance. That’s where high-efficiency engineering becomes critical. What Is High-Efficiency Engineering? High-efficiency engineering is an end-to-end […]
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 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.
Artificial Intelligence
HealthTech
The Rise of Autonomous AI in Healthcare: Opportunities and Challenges
Autonomous AI in healthcare is steadily transforming the industry by enhancing patient outcomes, optimizing operations, and strengthening security and privacy. As the technology evolves, HealthTech leaders are continuously refining their applications to unlock new opportunities and enhance existing solutions. Last week, my colleagues at Emids and I met with HealthTech leaders to explore best practices, […]
Data & Analytics
Interoperability
Unlocking Interoperability: Navigating CMS Mandates, FHIR Standards & Implementation Challenges
Interoperability is no longer just a compliance requirement—it’s a strategic necessity for payers looking to streamline operations, enhance data sharing, and improve patient outcomes. With CMS regulations evolving and FHIR becoming the backbone of healthcare data exchange, payers must navigate a complex landscape of mandates, standards, and implementation challenges.
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 our latest ebook, HealthTech Trends for 2025 and Beyond, we explore four key trends shaping the industry: maximizing legacy systems, GenAI adoption, automation, and data standardization. Discover how HealthTech leaders are driving efficiency, enhancing scalability, and preparing for the future. Download now to stay ahead in this rapidly changing landscape.
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.
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.
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 […]
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 […]
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 […]
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. […]
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: […]