Category: Healthcare Insurance
2025 Survey Identifies the Vendors and Capabilities Driving FWA Detection, Overpayment Recovery, and Claims Accuracy Across U.S. Payers
Advanced Analytics, AI, and Automation Become Essential as Payers Face Increased Scrutiny on Risk Adjustment Accuracy and Financial Performance
AI-Driven and Scalable Solutions Lead the Way as Payers Prioritize Efficiency, Compliance, and Member Satisfaction
With Star Ratings Plummeting, New Report Uncovers the Health IT Strategies Used by Elite Plans-and How All Payers Are Leveraging Them to Drive Quality, Retention, and Regulatory Success
May 30, 2025 - Article has been updated to reflect company name change from “Inovalon (QSI-XL)” to “Inovalon Converged Quality”
Identifying Top Vendors Empowering Population Health, Chronic Disease Management, and Quality Analytics
Client Rankings Guide Health Plans to Advanced IT Solutions for Superior Compliance, Performance, and Member Outcomes for 2026 & Beyond
New rules ignite a surge in payer demand for data platforms that support RADV readiness, Stars forecasting, and member retention analytics.
Seventy-nine Percent of Health Plans Remain Unprepared for Scaled AI as Record Investments Signal a Tipping Point for Payer IT Modernization
Poll of 273 Healthcare Leaders Uncovers Escalating Challenges in Prior Authorization, Data Exchange, and Value-Based Contracting.
Independent Healthcare IT Market Research Firm Recognizes Veradigm as Overall #1 Payer Analytics Vendor for Second Consecutive Year
Onyx Leads the 2025 Healthcare Interoperability Market with OnyxOS Platform
More Than 5,000 Health Plan IT Clients Evaluate 400 Software Firms, Advisors, and Service Vendors Across 35 Operational Areas in 15th Annual Payer Survey on Customer Experience and User Satisfaction
Health plan executives rated dozens of vendors on 18 key performance indicators across 28 payer operational areas in the sweeping annual user satisfaction survey.
With complex claims denials increased over 300 percent since 2015, nine in ten providers are turning the complicated complex claims processing to highly adept external vendors. Argos Health receives top client experience ratings in annual polling of chief financial officers and senior business officers in provider organizations as hospital margins continue to diminish.
Black Book estimates manual contract management costs health providers and systems nearly $157 billion dollars collectively, per year.
Provider demand for consultants with value-based care expertise , physician engagement, analytics & culture change advisory climbs sharply.
The vendors of healthcare's next big innovation are reviewed in this installment of the Black Book "Emerging Tech Vendors" series.
The vendors of healthcare's next big innovation are reviewed in this installment of the Black Book "Emerging Tech Vendors" series.
Three out of four private healthcare marketplace plans loses significant member contentment since same time last year.
