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ALITHYA · HEALTHCARE PAYER REPORT

We asked 125 U.S. healthcare payer executives questions about automation maturity, legacy modernization, and operational strategy. What they said reveals a sector under structural pressure—and the shifts already underway. 

Strategic opportunities for payer operational excellence

Healthcare insurance executives

Managed care leaders

Clinical operations and utilization management leadership

Who should read this report?

Inside the report

The gap between evaluating and actually implementing robotic process automation (RPA) & intelligent document processing 

Where payers are placing their biggest technology bets—and whether they're delivering results

How far the industry has really progressed on cloud modernization 

How Alithya helps healthcare payers

Alithya works with healthcare payers to turn operational challenges into competitive advantage. We combine AI-powered automation with deep healthcare expertise to modernize core data environments, eliminate manual bottlenecks, and build the intelligent infrastructure payers need to reduce costs, stay compliant, and compete in an increasingly complex market.

Agentic AI for payers

We design and deploy logic-based digital workforces that go beyond isolated taskbots — automating complex, multi-step workflows across enrollment, prior authorization, and claims.

Medical loss ratio protection

By reducing administrative overhead through intelligent automation, we free up human capital for high-value clinical work — directly protecting the metrics that matter most to payer leadership.

AI-ready data infrastructure

We modernize claims, member, and provider data environments so payers can move off fragmented legacy infrastructure and unlock the foundation needed for AI-enabled operations. 

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