Everest Group Report: Operationalizing Generative AI in Healthcare Payer
Generative AI is revolutionizing the healthcare industry, driving innovation across the payer value chain including claims processing, member engagement, and care management. This transformative technology is reshaping how payers build trust and deliver value, leading to improved operational efficiency and better outcomes for members and payers.
However, the journey to harnessing the full potential of generative AI comes with challenges in data privacy, model accuracy, and integration into existing workflows. Everest Group’s recently released report AI-deas to Action: Operationalizing Generative AI in Healthcare Payer provides the context and insights needed to pick the right partner on your genAI journey.
The report categorizes 13 leading healthcare payer providers as challengers, fast-followers, and front-runners, with EXL receiving a front-runner classification.
Everest Group assessed generative AI providers on four main areas:
Scale – Revenue, client reach, and genAI-related RFP engagements
Partnerships – The cloud, software, and other partners enhancing a provider’s capabilities
Use cases – Industry-specific use cases across the value chain in either the pilot or production stage
Value delivered – Buyer perspectives on the impact and effectiveness of a provider’s genAI solutions
"EXL’s generative AI approach, rooted in a data-driven strategy, deep AI expertise, and a strong digital talent ecosystem, helps organizations navigate the evolving landscape of AI adoption. Its focus on the payer industry, especially within care and claims management, underscores its commitment to driving innovation, with clients valuing its progressive thought leadership," says Aastha Malik, Practice Director at Everest Group.
The report cites several key factors contributing to EXL’s positioning.
- Over a decade of AI implementation and integration experience
- Custom-built large language models for analyzing large datasets, predicting health trends, and providing personalized care recommendations
- More than 1,500 personnel with genAI training
Get the information you need to better understand your genAI provider options. Download the AI-deas to Action: Operationalizing Generative AI in Healthcare Payer report for a closer look at Everest Group’s methodology and EXL’s genAI capabilities.