Skip to main content

Report

Insights in claims payment processing

Read a detailed report of pressing issues and opportunities based on what we're hearing from health plan executives.

Health care payments are evolving, but challenges remain

Sixty-seven percent of health plans are in the process of going paperless for claims payments. Yet pain points can slow their progress, and plans have different priorities. We commissioned a study with senior health plan executives to hear what’s on their minds.

  • Resource constraints are a top barrier.
  • Manual processes inhibit plans from streamlining payments.
  • The shift to value-based models will have a significant impact on payment delivery.

Read more about the trends influencing purchasing decisions and opportunities for payers.

Related healthcare insights

Optum Rx: Relentless Prep, Strong 2026 Implementations

Article

Relentless preparation leads to a strong 2026 implementation

We delivered a seamless 1/1 transition for over 800 new clients with strong service, stable operations and improved member experiences.

What Plan Sponsors Need to Know About WAC Pricing Shifts

Article

What plan sponsors need to know about WAC pricing shifts

The move to Maximum Fair Prices for popular drugs will trigger new economic considerations for plan sponsors.

Viewpoints on the 2027 CMS Advance Notice

Report

Viewpoints on the 2027 CMS Advance Notice

6 key proposed changes for 2027