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Research Report, Featured Post

Transform Care Guidance: From Crisis to Control

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Executive Insights from a Survey of 100 Senior Health Plan Leaders

Medical spending continues to rise, and members are demanding greater value and clarity. For health plan leaders, the new imperative is to unify steerage, provider data, and AI to bridge the gap between member expectations and plan capabilities.

This exclusive 2025 research report, “From Crisis to Control: Executive Insights to Transform Care Guidance with Data and AI,” provides a clear path forward. Based on a survey of 100 senior leaders from U.S. health plans, this report outlines the critical imperatives for building a connected, intelligent, and member-centric ecosystem.

Download the Report to Learn:

  • Why 91% of health plan leaders believe there is room for improvement in steering members to appropriate, cost-effective care.
  • The top barriers to successful steerage, including organizational resistance (47%) and a lack of clear strategy (46%).
  • How foundational provider data issues—with 85% of leaders struggling with inaccuracies—directly erode member trust and lead to skipped care.
  • The “Payer AI Paradox”: Why 91% believe AI will enhance steerage, but only 16% use it widely for member guidance today.
  • A 3-step path to action that moves your organization from a reactive “find a doc” model to proactive, agentic care guidance.
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