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  • Healthcare Payer Trends Outlook 2025 - Emids
    Explore the key trends and their impact on healthcare plans in 2025 Boost Member Engagement: Harness AI and omni-channel platforms to deliver seamless, personalized experiences Optimize Costs: Use scalable tech solutions and automation to enhance efficiency and reduce administrative overheads
  • What to expect in US healthcare in 2025 and beyond | McKinsey
    In this year’s report, we provide a perspective on how the recent challenges have affected payers, health systems, HST, and pharmacy services, and what to expect in 2025 and beyond We estimate that healthcare EBITDA will increase at a 7 percent CAGR to $987 billion in 2028 from a baseline of $676 billion in 2023 (Exhibit 2)
  • 2025 Payer Trends: Navigating Complexity, Compliance, and AI Disruption
    Read on to explore four key developments impacting payer operations this year — and how member-centricity, strategic partnerships, and smart AI adoption can help them stay ahead of the trends in 2025 and beyond
  • U. S. Healthcare Payer Insurance Industry Insights Primer for 2025 - Gartner
    U S healthcare payers are experiencing mounting economic and technological pressures These include increased care costs and generating ROI from advances in AI This initiative helps CIOs navigate the health insurance landscape and deliver tangible business value from digital transformation
  • US Healthcare Forecast 2025: Trends Shaping the Year Ahead
    Below are seven key trends facing the provider landscape in 2025: Declining hospital operating margins Median 12-month rolling average hospital operating margins are expected to decline by 1%-2% in 2025, following a recovery from -1% in Q3 2022 to 4% in Q3 2024
  • 2025 Payer Trends Shaping US Healthcare - nexushealthgrp. com
    This report by Nexus Health Group outlines 6 payer-focused trends to watch in 2025, helping organizations stay ahead in a complex, rapidly evolving, and competitive healthcare environment For this report, the Nexus team surveyed 17 payers, including pharmacy and medical directors
  • Managed Care Industry Trends Insights 2025 | PNC Insights - PNC Bank
    In 2024, the managed care industry navigated significant challenges influenced by regulatory changes, higher than anticipated utilization, and the increased backlash, both public and political, against pharmaceutical benefits managers (“PBMs”)
  • Navigating the Shifting Sands: Deloittes 2025 Health Care Outlook and . . .
    Deloitte’s 2025 Health Care Outlook study offers valuable insights into the evolving dynamics of the industry, particularly for health insurance payers TOG Network Solutions analyzed this report and translated its key findings into actionable strategies that can empower payers to thrive in the coming years
  • Payers in 2025: A Case for Optimism, Agency, and Innovation Velocity
    Publicly traded payers missed earnings expectations, share prices dropped, high-profile C-suite executives exited, litigation went against payers, regulatory and political scrutiny continued, public relations challenges seemed never-ending, and more
  • Healthcare Trends 2025: Future of Value-based Care and Innovation
    Healthcare spending is expected to grow the fastest in over a decade in 2025 According to PwC, the projected 8 percent year-on-year medical cost trend is being driven by inflationary pressures, rising prescription drug costs and increased demand for behavioral health services 3 In this landscape, healthcare organizations face intensifying pressure to optimize revenue while improving





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