McKinsey March 25, 2025
Although payers have been comparatively slow to adopt digital and AI tools for some valid reasons, healthcare payer digital transformation could help them create meaningful value and boost resilience.
Healthcare payers have ready access to the tools they need to build digital-first, data-driven organizations. Successful healthcare payer digital transformations could substantially increase consumer and caregiver satisfaction, care quality, and organizational efficiency. Moreover, the potential financial benefits are vast. According to McKinsey analysis, for every $10 billion of payer revenue, AI solutions could save $150 million to $300 million in administrative costs, save $380 million to $970 million in medical costs, and increase revenues by $260 million to $1.24 billion.
Yet in terms of their digital maturity, healthcare payers lag behind...
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