• Viewpoint
    June 12, 2026

    Improper payments remain a persistent challenge for health plans despite sustained investment in payment integrity. Many payer organizations still manage pre-pay and post-pay activities as separate functions, limiting their ability to convert recovery insights into earlier…
  • PEAK Matrix®
    April 10, 2026

    Healthcare payers and providers are operating under sustained pressure from fragmented engagement ecosystems, rising consumer expectations, and intensifying regulatory and quality mandates. Disconnected clinical, administrative, and customer interaction systems continue to limit end-to-end visibility across member…
  • Tech Provider Spotlight
    Sep. 30, 2025

    The Payment Integrity (PI) market is structurally resetting. Payers are moving from retrospective audits to preventive, pre-payment validation using AI, predictive analytics, and automation to detect anomalies early, improve coding accuracy, and reduce provider abrasion. This…
  • Viewpoint
    July 16, 2021

    This viewpoint examines the cloud transformation journey for healthcare enterprises to operate more efficiently and resiliently. With increasing interest in a connected healthcare ecosystem and enterprise digitalization following the pandemic, cloud transformation has gained substantial traction…