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From Speed to Scale: Why High-Efficiency Engineering Is Critical for HealthTech Growth - Emids
HealthTech leaders today face a growing set of pressures: shorter product cycles, increasing compliance demands, and the constant push to innovate while ensuring system resilience and scalability. In this environment, engineering teams are not just building software—they’re driving business performance. That’s where high-efficiency engineering becomes critical. What Is High-Efficiency Engineering? High-efficiency engineering is an end-to-end […]
Rethinking Member Engagement in a Digital-First World - Emids
Are your digital tools truly connecting with your members—or just checking a box? Emids surveyed 789 health insurance members across Employer-Provided Plans (EPP), Direct Purchase Plans (DPP), and Medicare Advantage Plans (MAP) to uncover insights that can help payers improve digital experiences, close care gaps, and boost long-term engagement.
AI Optimization of Emergency Room Management - Emids
Our client, one of the largest publicly traded hospital networks in the United States, faced operational challenges in managing their emergency room (ER) operations, including fragmented data systems, difficulties in promptly identifying patients, and inefficiencies during patient transitions from ER to inpatient care. These challenges negatively impacted decision-making capabilities, slowed operational workflows, and ultimately affected […]
Strategic Integration & Engineering for a Large RCM Solution Provider - Emids
Healthcare organizations operating in revenue cycle management (RCM) face the challenge of optimizing financial outcomes while ensuring a seamless patient experience. For one large RCM solution provider, this mission was hindered by inefficiencies that impacted operational effectiveness and client satisfaction. Recognizing the urgency for transformative change, Emids partnered with the provider to deliver innovative solutions […]
The Rise of Autonomous AI in Healthcare: Opportunities and Challenges - Emids
Discover how autonomous AI in healthcare is transforming patient engagement, clinical workflow optimization, and revenue cycle management. Explore opportunities, challenges, and strategies for successful healthcare AI adoption.
Healthcare Payer Trends Outlook 2025 - Emids
The healthcare payer landscape is evolving rapidly, shaped by technological advancements, regulatory shifts, and changing consumer expectations. In our 2025 Healthcare Payer Trends & Outlook, we cover actionable insights to navigate these transformations, enhance member experiences, and drive operational excellence. Whether you're strategizing for the year ahead or looking to stay competitive, this report provides the intelligence you need.
Unlocking Interoperability: Navigating CMS Mandates, FHIR Standards & Implementation Challenges - Emids
Interoperability is no longer just a compliance requirement—it’s a strategic necessity for payers looking to streamline operations, enhance data sharing, and improve patient outcomes. With CMS regulations evolving and FHIR becoming the backbone of healthcare data exchange, payers must navigate a complex landscape of mandates, standards, and implementation challenges.
HealthTech Trends for 2025 and Beyond - Emids
HealthTech is evolving fast—are you ready? A post-Covid funding surge, a new administration, and groundbreaking technologies are setting the stage for innovation in 2025. In our latest ebook, HealthTech Trends for 2025 and Beyond, we explore four key trends shaping the industry: maximizing legacy systems, GenAI adoption, automation, and data standardization. Discover how HealthTech leaders are driving efficiency, enhancing scalability, and preparing for the future. Download now to stay ahead in this rapidly changing landscape.
Reducing Medical Loss Ratio and Enhancing Member Care - Emids
Discover how BCBS organizations can reduce Medical Loss Ratio and enhance member care while managing rising healthcare costs and growing regulatory demands. This exclusive eBook by Emids offers actionable strategies across five key pillars—operational efficiency, MLR optimization, interoperability, member engagement, and compliance. Learn how to optimize costs, improve member satisfaction, and drive sustainable growth.
Low-Code, High Impact: Transforming Payer Operations and Member Engagement - Emids
Discover how low-code platforms empower healthcare payers with operational efficiency, member engagement, and rapid innovation. Learn how low-code solutions provide flexibility, speed, and cost savings for modern healthcare challenges.
Transforming Healthcare Payer Operations with Intelligent Automation - Emids
Healthcare payers are under pressure to navigate regulatory changes, rising costs, and operational inefficiencies. Learn how intelligent automation can help payers reduce costs, improve compliance, and enhance member experiences through streamlined claims processing, provider management, and more.
Accelerating Quality and Efficiency: A QA Transformation Journey for a Leading Health Plan - Emids
Accelerate your QA processes with Emids. Discover how a leading health plan reduced testing duration by 25%, increased automation to 75%, and cut late defect identification by 70%. Learn about the strategic QA transformation journey that improved efficiency, reduced costs, and enabled faster product releases.
Transforming Operations with Intelligent Automation for a Leading Health Plan - Emids
Discover how a leading health plan partnered with Emids to streamline operations through intelligent automation, achieving over $12M in savings, 650,000+ hours saved, and improved efficiency across key business functions.
Optimizing Claims Workflows: Are Inefficiencies Costing Your Health Plan Money? - Emids
Discover how understanding your claims data can reveal hidden inefficiencies. High auto adjudication rates, elevated PEND ratios, and frequent resubmitted claims could indicate costly inefficiencies in your claims workflows. At Emids, we optimize Core Admin Systems to streamline data integration, boost accuracy, and reduce operational costs, turning inefficiencies into measurable savings.
Sustainable Cost Optimization for Payers: Unlocking Efficiency and Growth in Healthcare - Emids
How Healthcare Payers can Boost their Cost Optimization Efforts In an era where quick responses to regulatory changes and member needs are no longer a luxury but a necessity, payers across the healthcare landscape struggle to meet user needs while managing costs responsibly. The answer? Cost optimization. Healthcare payers face growing pressures from rising operational […]
Healthcare Payers at Risk: Fixing Broken Core Administrative Systems for Future Growth - Emids
Uncover Strategies to Transform your Core Administrative Systems In an era where healthcare payers face increasing complexity, regulatory pressures, and the demand for personalized care, outdated core administrative systems (CAS) can become a costly liability. This comprehensive eBook explores the high cost of broken CAS and integration gaps that put payers at risk and offers […]
Migrating to the Cloud: 5 Key Challenges Impacting Healthcare Providers - Emids
Discover the 5 key challenges healthcare providers face during cloud migration. Learn how to navigate legacy system modernization, data security, compliance, interoperability, and vendor lock-in risks to ensure a successful transition to the cloud.
Six Critical Barriers to Cloud Success for Healthcare Providers - Emids
Cloud migration offers healthcare providers numerous advantages, including scalability, cost-efficiency, and improved data access. And, as healthcare providers migrate to the cloud to modernize operations, improve patient care, and reduce costs, many encounter significant obstacles during the migration process. These obstacles arise due to the need for seamless integration across multiple applications and platforms, such […]
The Cloud Cost Conundrum - Expert Talks Ep.1 - Emids
Watch the Talk Cloud migration is transforming the healthcare industry, but it comes with unique challenges. In this exclusive fireside chat, healthcare leaders and cloud experts from Emids share actionable insights on how to navigate the complexities of cloud adoption, manage rising costs, and unlock the true potential of data in healthcare. What you’ll learn: […]
Emids Recognized as Major Contender in Everest Group’s Life Sciences Digital Services for Mid-market Enterprises PEAK Matrix® Assessment 2024 - Emids
August 14, 2024, Nashville, TN – Emids, a leader in digital engineering and transformation solutions to the healthcare and life sciences industry, has been named a Major Contender in the 2024 PEAK Matrix® Assessment for Life Sciences Digital Services for Mid-market Enterprises by Everest Group. Everest Group’s PEAK Matrix® assessment is a highly regarded industry […]
6 Reasons Cloud Migrations Fail - Emids
Healthcare payer organizations are navigating a complex landscape marked by rising healthcare costs, increasing regulatory pressures, and the urgent need for digital transformation. With the growing emphasis on value-based care and the integration of advanced technologies, payers are seeking solutions to enhance operational efficiency, improve data management, and deliver better patient outcomes. The shift towards […]
Navigating the Cloud: 6 Key Challenges for Healthcare Payers - Emids
In today’s rapidly evolving healthcare landscape, payers are under immense pressure to reduce costs, improve care delivery, and maintain regulatory compliance. The complexity of managing vast amounts of data, integrating diverse healthcare systems, and ensuring data security adds to the challenges. As healthcare payers strive to enhance their operational efficiencies and meet the ever-growing demands […]
Emids Positioned as Major Contender in Everest Group’s Healthcare Industry Cloud Services PEAK Matrix® Assessment 2024 - Emids
Nashville, TN – [July 17, 2024] – Emids, a leading provider of digital transformation solutions to the healthcare industry, has been named a Major Contender in the 2024 Everest Group Healthcare Industry Cloud Services PEAK Matrix® Assessment. This recognition highlights Emids’ strong market impact and comprehensive capabilities in providing specialized cloud services for healthcare, reinforcing […]
Cloud Migration and CMS Interoperability for a Leading HMO - Emids
Challenge A non-profit Health Maintenance Organization (HMO), wanted to modernize its IT ecosystem. This included a crucial migration to the cloud, constructing next-generation data platforms, and upskilling their workforce to support their growth trajectory. They were also driven by the need to comply with the Centers for Medicare & Medicaid Services (CMS) Interoperability and Patient […]
From On-Prem to Google Cloud for a leading US Healthcare Player - Emids
Challenge A prominent healthcare organization in the USA, managing diverse business lines including retail, pharmacy, health insurance, managed healthcare, and population health management, sought to modernize its data ecosystem. The goal was to transition from on-prem systems to the Google Cloud Platform (GCP) to leverage the full potential of their data, enhance scalability, and streamline […]
Cloud FinOps Best Practices for Healthcare Payers: 4 Essential Principles - Emids
In the current healthcare economic climate, controlling costs while maintaining operational efficiency is challenging, and variable IT costs add complexity. Migrating IT infrastructure to the cloud introduces new financial complexities in the shift from traditional capital expenditure (CapEx) models to the cloud’s operational expenditure (OpEx) framework. FinOps, or Financial Operations, provides a strategic approach to […]
Emids Recognized as Enterprise Innovators in the HFS Horizons HCP Service Providers, 2024 Report - Emids
Emids, a global leader in technology-led transformation and digital engineering solutions for the healthcare and life sciences industry, is positioned as an Enterprise Innovator in the 2024 HFS Horizons report for Healthcare Provider service providers. HFS Research assessed the capabilities of 36 service providers that serve healthcare service providers, specifically focusing on industry-specific capabilities for service providers. […]
Optimizing Cloud Costs: The FinOps Imperative for Healthcare - Emids
In today’s digital era, healthcare organizations are at the forefront of technological transformation. As the adoption of cloud computing accelerates, driven by advancements in AI and machine learning, the need for strategic financial management becomes imperative. Our eBook, ‘Optimizing Cloud Costs: The FinOps Imperative for Healthcare’, explores how organizations can develop financial discipline through Financial […]
The Power of Service Design: Unlocking Digital Success in Healthcare - Emids
In the ever-evolving landscape of healthcare, digital transformation is essential for enhancing patient care, improving efficiency, and reducing costs. As organizations seek ways to improve their digital services to better serve their customers, its paramount to align them with your business objectives. However, navigating this journey can often feel like exploring uncharted waters. Enter Service […]
The Backlog: A Secret Weapon for Agile Low Code Development - Emids
In Agile software development, speed and adaptability are critical, and a well-maintained backlog is a secret weapon for project success. This principle is especially true for Agile Low Code development, where a robust backlog serves as a strategic roadmap that guides development efforts and promotes efficient resource allocation. This article explores how a backlog optimizes […]
Working Towards a Mature Accessibility Culture at Emids - Emids
As organizations recognize the importance of creating inclusive environments for those with disabilities, they may struggle with where to begin. At Emids, we used a systematic approach to evaluate our current state of accessibility and developed a strategic plan for improvement. By sharing our story, we hope to inspire other companies to work towards maturing […]
Emids is now Great Place To Work® Certified™ - Emids
[Nashville, TN, Feb 21, 2024] – Emids, a global leader in technology-led transformation and digital engineering solutions for the healthcare and life sciences industry, has been recognized as a Great Place To Work® Certified™ organization in India, the Philippines and the US. The study conducted by the Great Place To Work® Institute employs an objective […]
Emids Named by Everest Group as a Major Contender in Healthcare Payer Digital Services - Emids
[Nashville, TN, Jan 25, 2024] – Emids, a global leader in technology-led transformation and digital engineering solutions for the healthcare and life sciences industry, has been recognized as a Major Contender in the Everest Group’s Healthcare Payer Digital Services PEAK Matrix® Assessment 2023 for the second year in a row. Everest Group evaluated the payer […]
Building Product the Right Way: Unpacking High-Performance Engineering Culture - Emids
In today’s rapidly evolving technological landscape in the healthcare sector, developing a product that positively impacts both the end user and the developer is crucial. This necessitates building the product correctly, but often organizations are faced with the challenge of navigating through various factors impacting the process. A process that encompasses fostering high-performing engineering cultures, […]
Beginner's Guide to Behavioral Design in HealthTech: Key Strategies and Tips - Emids
Behavior change is the new frontier in healthtech Globally, seven out of the 10 leading causes of death are a result of – or exacerbated by – unhealthy behaviors. This is not lost in healthtech where the market value of mHealth apps currently sits close to $50 billion and is expected to more than double […]
Implementing Generative AI in Healthcare: Strategies, Risks, and Operational Insights - Emids
The advent of Generative AI in healthcare marks a pivotal shift in the industry, heralding a new era of technological advancement and innovation. As we stand at the cusp of this transformation, it’s imperative to grasp the full spectrum of possibilities that GenAI brings to the table. This article aims to unravel the intricacies of […]