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Heightened pressures from rising costs, regulatory complexities, AI disruption, and member and provider expectations indicate a perfect storm is brewing. Discover the insights you need to navigate the year ahead.

From Insight to Action: Understanding the Top Challenges & Opportunities Ahead

The data from HealthEdge’s annual payer market survey shows an industry under unprecedented pressure to balance competing priorities. This year’s survey of 550 health plan executives reveals a seismic shift in payers’ top challenges and the strategies they are deploying to overcome them.

This exclusive report is designed for health plan leaders and executives seeking actionable strategies to position their organizations for success through superior technology and services.

Key Themes Explored in the Report

• Managing Costs: Explore why cost management remains the universal pressure point and how 34% of leaders are turning to AI and advanced analytics to combat it.
• Regulatory Pressures: Understand why 85% of leaders say regulatory changes are moderately or significantly impacting their costs and what strategies they are using to maintain compliance.
• Member Satisfaction: Uncover the 25-point gap between how payers believe they are perceived and how members actually view them, and learn what investments can be made to close it.
• Provider Relations: Learn the top challenges impacting provider engagement, from claims processing delays to data access, and see how leaders are rebuilding trust.
• AI Adoption: See how 91% of payers are now adopting AI and where investments are being focused to drive the next era of operational intelligence.

Navigating the Industry's Toughest Challenges

The healthcare landscape is changing rapidly, and stakeholder expectations are setting the pace. Health plans that can balance competing priorities—choosing between modernization and stability, innovation and affordability—will lead the way.

Read the report now to unlock the insights you need to succeed in 2026 and beyond.