Inside the relationship between providers and payers
Payers and providers have always had to work with each other in healthcare. As M&A intensifies and companies are more likely to embrace more holistic and value-based care models, the partnerships have become more closely intertwined. INCLUDED IN THIS TRENDLINE More insurance claims denials are being overturned upon appeal, study finds Insurers making progress on […]
From AI Models to Agentic Workflows: Building Healthcare AI with Local Compute
Healthcare and life sciences organizations are racing to accelerate discovery, improve diagnostics, and advance digital health and medical device innovation with AI. As teams move from single-model experiments to agentic AI workflows that coordinate models, approved tools, and trusted data, they need practical ways to develop, evaluate, and govern those workflows before broader deployment. But […]
Digital Door Signage: Improve Clinical Workflow and Safety
This playbook explores how digital door signage creates a real-time workflow and safety layer that surfaces critical information for clinical teams. The average patient room door has 11.8 signs with instructions, making it one of the most important clinical decision points in the hospital. But it is a system that relies on manual updates and […]
Personalizing healthcare in the age of AI: A guide for real-world impact
The adoption of AI into health care is increasing exponentially as combined pressures such as rising costs, broken systems, and workforce shortages are preventing patients from receiving proper treatment. By 2030, the global shortage of health care workers could reach 11 million (World Health Organization), driving urgency to build smarter workflows and to automate routine […]
Winning Where It Matters: Zelis’ Performance in the 2025 CMS IDR Landscape
In a provider-favorable IDR environment, payer value comes down to more than just win rate. It’s high-volume specialty performance, QPA discipline and keeping claims out of IDR.
The Campfire Research Initiative: What Medicare Advantage Members Actually Want
Roderick Kersch created the Campfire Research Initiative to further the industry’s understanding of Medicare enrollees’ lived experience. The multi-year qualitative research program involved nearly 3,100 in-person interviews with Medicare Advantage and traditional Medicare members, conducted in 37 states. Unlike online surveys or claims-based analytics, it attempts to capture the authentic voice of the member through […]
MedTech Sales Trends 2026: Measuring the Effect of AI
This survey report explores responses from 150 medical device sales reps on how they use AI and what sets sales reps who hit their quota apart. The medical device landscape is becoming increasingly complex, with most device purchases scrutinized by value analysis committees, longer sales cycles, and more competition. It’s critical for sales reps to […]
Effective content marketing strategies for engaging physicians
Are you ready to elevate your content strategy and build stronger connections with physicians? Wolters Kluwer’s latest white paper delivers exclusive insights from its annual physician content consumption survey, helping you better understand how physicians engage with information and what it takes to capture their attention in an increasingly digital landscape. Key Findings Evidence-based content […]
Evolving Pharma Logistics: From Cold Chain to Connected Care
Pharma logistics are expected to look significantly different by 2030 as networks evolve into a strategic capability that connects manufacturing, clinical research, healthcare providers, regulators and patients through real-time visibility, coordination and decision-making. At the same time, the therapies moving through supply chain networks are fundamentally changing, requiring special handling and sophisticated coordination. This playbook […]
From AI Pilot to Clinical Scale: Governing Every Agent That Touches ePHI
Your first clinical AI use case was the hard one. Now after several more builds, you realize that every new agent deployment is triggering the same access review, the same audit trail build-out, and the same provisioning work. The organizations scaling clinical AI fastest aren’t doing more compliance work per agent. They’ve built an identity […]