Why read this guide?

Because stakes are high: 

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Emerging technology for Healthcare Payers

Rising costs, stricter regulations, and growing member expectations are forcing leaders to rethink healthcare payer operations. Manual workflows in claims processing, utilization management, and member engagement are no longer sustainable — they slow down decisions, frustrate customers, and increase compliance risk. 

At the same time, there’s an explosion of new technology promising to improve efficiency and accuracy — from robotic process automation (RPA) and intelligent document processing (IDP), to agentic AI agents and workflow automation. 

But many payers face the same challenge: there’s no clear guide to help envision what’s truly possible with these emerging technology within the payer space.

Transform claims, prior authorization, and clinical operations with agentic AI, RPA, IDP, and automation

Because the risks are real: 

  • CMS requires Medicare Advantage and Part D plans to pay clean electronic claims within 30 days — delays trigger penalties.

  • Medicaid and commercial plans face similar “prompt pay” rules, making operational inefficiency a compliance issue.

Because the technology is overwhelming: 

Healthcare payer leaders need clarity on which technologies deliver real value and how to scale them across operations.

This guide walks you through the technologies reshaping payer operations with tangible outcomes:

  1. Robotic Process Automation (RPA)

  2. Intelligent Document Processing (IDP)

  3. Agentic AI

  4. Workflow & Business Process Automation

  5. Legacy System Modernization

is spent annually on administrative work in U.S. healthcare

$440B

could be saved each year by shifting manual processes to automation (CAQH 2024).

$20B

Start with the automation framework

This guide closes with a step-by-step Intelligent automation framework designed specifically for healthcare payers. 

Download the buyer's guide and see how payer leaders are cutting administrative costs, accelerating decisions, and modernizing operations with the right mix of emerging technologies.

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See how Alithya helped a leading U.S. health insurer achieve massive cost savings using IDP and automation to streamline its payer operations. 
Read the case study in the guide.

$14M+

saved

Because results are proven: