November 26, 2024

Weekly Business Insights 11/26/2024

HEALTHCARE: PAYMENTS 2025. Healthcare Revenue Cycle Trends for 2025 and Beyond. Top Technology Investments for U.S. Healthcare Payers in 2025.

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HEALTHCARE: PAYMENTS 2025

While these last two years have exacerbated an already fragile healthcare ecosystem and put strain on frontline workers, it’s also been a period catalyzing incredible innovation. The industry is embarking on a digital transformation that has laid the foundation for a new era of healthcare, with payments playing a key part in this rapidly adapting landscape

Digital-first, more streamlined and aggregated paths to payment could now be seen as non-negotiable, while a move to telemedicine and remote XR (extended-reality) healthcare could propel transactions into virtual realms. Promoting payment security via biometric authorization and decentralized platforms could help to attract privacy-savvy patients

Healthcare needs to prepare for the arrival of the value-based care model – which could save both money and lives via a preventative approach – with bespoke reward schemes and more personalized interactions. This may also make make healthcare more accessible by introducing financially supportive services or fuelling collective funding. To address the collective socio eco awakening, build planet friendly action into payment experiences and nurture social impact in innovative ways. Payment solutions should also help tackle the unique challenges that new life stages bring

P2025HealthcareWhitepaper.pdf

Healthcare Revenue Cycle Trends for 2025 and Beyond

The future of healthcare is unfolding before us, driven by transformative technologies, rising patient expectations, and innovative care delivery models.

From the integration of automation to patient-centred revenue strategies, healthcare is evolving to meet the demands of a rapidly changing world. This transformation extends to all facets of the industry, including operations, care delivery, and financial sustainability, particularly in areas like healthcare revenue cycle management (RCM).

“The future of healthcare is data driven.; Data analytics is reshaping the industry by providing actionable insights that improve decision-making at every level

  • Predictive Care: Analytics identify risk factors and predict health outcomes, enabling preventive interventions.
  • Operational Efficiency: Real-time data insights streamline workflows and improve resource allocation.
  • Revenue Cycle Management: In healthcare revenue cycle management, data analytics reduce claim denials and optimize billing processes

Harnessing the power of data enables healthcare organizations to deliver better care and achieve financial sustainability

Future of Healthcare: Key Trends Reshaping the Industry in 2025

Top Technology Investments for U.S. Healthcare Payers in 2025

The healthcare payer industry is at a pivotal moment. As operational costs rise, consumer expectations evolve, and technology rapidly advances, payers are compelled to reassess their technology priorities to stay competitive and ensure they can scale efficiently while addressing complex regulatory and operational demands. According to the 2025 Gartner CIO and Technology Executive Survey, several key areas are emerging as top investment priorities, all aimed at boosting efficiency, enhancing patient outcomes, and optimizing operations. Consumer Experience Capabilities (66%), Core Admin Systems (50%), Interoperability Technologies (36%), Care Management Solutions (36%), and Sales Enablement Applications (34%).

By investing in cloud-native architectures and AI-driven personalization algorithms, healthcare payers can better align with member expectations, fostering engagement and loyalty in a market where consumer choice is limited. This approach not only enhances satisfaction. but also supports long-term retention by addressing relational gaps, building trust, and creating a foundation for a competitive edge intoday’s complex healthcare landscape.

Top Technology Investments for U.S. Healthcare Payers in 2025 – Part 1: Consumer Experience, Core Systems & More

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