Predicts 2025: AI Reshapes How U.S. Healthcare Payer CIOs Do Business

Revolutionizing U.S. Healthcare Through AI Innovation

What You'll Learn

We believe The Gartner® report provides data-driven insights and strategic planning recommendations designed to prepare payer organizations for the future.

Our Key Findings from the Report:

  • AI’s Role in Cost Reduction: By 2027, generative AI (GenAI) is predicted to lower administrative costs by 30% for most health insurers with more than 1,000,000 members.
  • Adopting Industry Cloud Platforms: 25% of legacy applications will give way to industry cloud platforms to enhance efficiency, agility, and AI scalability.
  • The ROI of Employee Experience (EX) and Customer Experience (CX): Organizations that prioritize EX and CX are predicted to achieve faster ROI on AI investments, outpacing competitors by 2027.
  • Economic Pressures Will Persist: Payer organizations must continue leveraging AI and automation to reduce the total cost of care and further improve medical loss ratios.

Why This Report Matters

Stay ahead of the curve by understanding the critical role AI and GenAI will play in shaping the next evolution of healthcare payers. The Gartner® report provides data, predictions, and strategies you can act on today to prepare your organization for tomorrow. Strategic Insights for Healthcare Payer CIOs:

  • Leverage AI tools to enhance revenue and optimize processes.
  • Approach industry cloud platforms as more than just IT initiatives—integrate them into business strategy to enable meaningful change.
  • Empower your workforce with a culture-first approach, combining employee experience investment with AI adoption to improve productivity and ROI.

Why EXL?

At EXL, we’re shaping the future of healthcare with AI-driven innovation. By integrating advanced artificial intelligence and customer experience (CX) solutions, we empower healthcare payers to achieve operational excellence and exceptional member outcomes.

Our Expertise:

  • AI Leadership: Leading analysts recognize our data-driven, AI-powered platforms optimize business processes and provide actionable insights to reduce cost and improve agility.
  • Customer-Centric Innovations: We help payer organizations redesign member experiences to drive loyalty and satisfaction.
  • Proven Partner for Success: Trusted by industry leaders, EXL partners with seven of the top 10 US health payers, delivering tailored solutions that drive value, streamline operations, and enhance member satisfaction.

View the Gartner® Report Today

Don’t get left behind in the face of economic pressures and advancing technology. Equip your organization with the insights and strategies needed to thrive in the AI-driven future of healthcare.

Get the report now

Attribution and Disclaimers:

Gartner, Predicts 2025: AI Reshapes How U.S. Healthcare Payer CIOs Do Business, Faith Adams, Austynn Eubank, Connie Salgy, 16 January 2025 GARTNER is a registered trademark and service mark of Gartner, Inc. and/or its affiliates in the U.S. and internationally and is used herein with permission. All rights reserved.