A health insurance model built for yesterday won’t meet the demands of today’s consumers. Expectations for seamless, intuitive experiences are accelerating, while fragmented systems continue to drive up costs, create blind spots, and erode trust.

Addressing these challenges takes more than incremental fixes. The path forward requires breaking down silos and creating synergy across plans, while aligning technology, strategy, and teams to deliver human-centered experiences at scale. This is more than operational; it’s strategic. It’s how health insurers build resilience, move with speed and purpose, and stay ahead of evolving demands.

Reflecting on recent industry conversations, we’re proud to have sponsored LeadersIgnite and the 2025 Inter-Plan Solutions Forum. As Hari Madamalla shared:

“When insurers share insights, build solutions together, and scale what works, they can cut costs, streamline prior authorization and pricing, and deliver the experiences members expect.”– Hari Madamalla, Senior Vice President, Healthcare + Life Sciences

To dig deeper into these challenges, we spoke with healthcare leaders Hari Madamalla, senior vice president, and directors Pavan Madhira and Priyal Patel about how health insurers can create a competitive edge by leveraging digital innovation with inter-plan collaboration.

The Complexity Challenge Health Insurers Can’t Ignore

Health insurance faces strain from every angle: slow authorizations, confusing pricing, fragmented data, and widening care gaps. The reality is, manual fixes won’t solve these challenges. Plans need smarter systems that deliver clarity and speed at scale. AI and automation make it possible to turn data into insight, reduce fragmentation, and meet mandates without adding complexity.

“Healthcare has long struggled with inefficiencies and slow tech adoption—but the AI revolution is changing that. We’re at a pivotal moment, similar to the digital shift of the 1990s, where AI is poised to disrupt outdated processes and drive real transformation.” – Pavan Madhira, Director, Healthcare + Life Sciences

But healthcare organizations face unique constraints, including HIPAA, PHI, and PII regulations that limit the utility of plug-and-play AI solutions. To meet these challenges, we apply our PACE framework—Policies, Advocacy, Controls, and Enablement—to ensure AI is not only innovative but also rooted in trust. This approach ensures AI is deployed with purpose, aligned to business goals, and embedded with safeguards that protect consumers and organizations.

Still, technology alone isn’t enough though. Staying relevant means designing human-centered experiences that reduce friction and build trust. Perficient’s award-winning Access to Care research study reveals that friction in the care journey directly impacts consumer loyalty and revenue.

More than 45% of consumers aged 18–64 have used digital-first care instead of their regular provider, and 92% of them believe the quality is equal to—or better.

That’s a signal healthcare leaders can’t afford to ignore. It tells us when experiences fall short, consumers go elsewhere, and they won’t always come back.

For health insurers, that shift creates issues. When members seek care outside your ecosystem, you risk losing visibility into care journeys, creating gaps in data and blind spots in member health management. The result? Higher costs, duplicative services, and missed opportunities for proactive coordination. Fragmented care journeys also undermine efforts to deliver a true 360-degree view of the member. The solution lies in intuitive digital transformation that turns complexity into clarity.

Explore More: Empathy, Resilience, Innovation, and Speed: The Blueprint for Intelligent Healthcare Transformation

Where Inter-Plan Collaboration Creates Real Momentum

When health plans work together, the payoff is significant. Collaboration moves the industry from silos to synergy, enabling human-centered experiences across networks that keep members engaged and revenue intact.

Building resilience is key to that success. Leaders need systems that anticipate member needs and remove barriers before they impact access to care. That means reducing friction in scheduling and follow-up, enabling seamless coordination across networks, and delivering digital experiences that feel as simple and intuitive as consumer platforms like Amazon or Uber. Resilience also means preparing for the unexpected and being able to pivot quickly.

When plans take this approach, the impact is clear:

• Higher Quality Scores and Star Ratings: Shared strategies for closing gaps and improving provider data can help lift HEDIS scores and Star Ratings, unlocking higher reimbursement and bonus pools.
• Faster Prior Authorizations: Coordinated rules and automation help reduce delays and meet new regulatory requirements like CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F).
• True Price Transparency: Consistent, easy-to-understand cost and quality information across plans helps consumers make confident choices and stay in-network.
• Stronger Member Loyalty: Unified digital experiences across plans help improve satisfaction and engagement.
• Lower Administrative Overhead: Cleaner member data means fewer errors, less duplication, and lower compliance risk.

“When plans work together, they can better serve their vulnerable populations, reduce disparities, and really drive to value based care. It’s about building trust, sharing responsibility, and innovating with empathy.” – Priyal Patel, Director, Healthcare + Life Sciences

Resilience and speed go hand in hand though. Our experts help health insurers deliver both by:

• Designing for agility with composable architectures, MVP+ delivery models, and intelligent automation that accelerates time-to-value while maintaining regulatory integrity.
• Aligning digital transformation with value-based care goals, enabling organizations to shift from volume to value through strategic investments that integrate cloud platforms, interoperable systems, and advanced analytics.
• Operationalizing AI responsibly to support equitable, secure, compliant, and scalable AI adoption.

This approach supports the Quintuple Aim: better outcomes, lower costs, improved experiences, clinician well-being, and health equity. It also ensures that innovation is not just fast, but focused, ethical, and sustainable.

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Accelerating Impact With Digital Innovation and Inter-Plan Collaboration

Beyond these outcomes, collaboration paired with digital innovation unlocks even greater opportunities to build a smarter, more connected future of healthcare. It starts with aligning consumer expectations, digital infrastructure, and data governance to strategic business goals.

Here’s how plans can accelerate impact:

• Real-Time Data Sharing and Interoperability: Shared learning ensures insights aren’t siloed. By pooling knowledge across plans, leaders can identify patterns, anticipate emerging trends, and act faster on what works. Real-time interoperability, like FHIR-enabled solutions, gives plans the visibility needed for accurate risk adjustment and timely quality reporting. AI enhances this by predicting gaps and surface actionable insights, helping plans act faster and reduce costs.
• Managing Coding Intensity in the AI Era: As provider AI tools capture more diagnoses, insurers can see risk scores and costs rise, creating audit risk and financial exposure. This challenge requires proactive oversight. Collaboration helps by establishing shared standards and applying predictive analytics to detect anomalies early, turning a potential cost driver into a managed risk.
• Prior Authorization Modernization: Prior authorization delays drive up costs and erode member experience. Aligning on streamlined processes and leveraging intelligent automation can help meet mandates like CMS-0057-F, while predicting approval likelihood, flagging exceptions early, and accelerating turnaround times.
• Joint Innovation Pilots: Co-development of innovation means plans can shape technology together. This approach balances unique needs with shared goals, creating solutions that cut costs, accelerate time to value, and ensure compliance stays front and center.
• Engaging Member Experience Frameworks: Scaling proven approaches across plans amplifies impact. When plans collaborate on digital experience standards and successful capabilities are replicated, members enjoy seamless interactions across networks. Building these experiences on solid foundations with purpose-driven AI is key to delivering stronger engagement and loyalty at scale.
• Shared Governance and Policy Alignment: Joint governance establishes accountability, aligns incentives for value-based care, and reduces compliance risk while protecting revenue.

Success in Action: Empowering Healthcare Consumers and Their Care Ecosystems With Interoperable Data

Make Inter-Plan Collaboration Your Strategic Advantage

Ready to move from insight to impact? Our healthcare expertise equips leaders to modernize, personalize, and scale care. We drive resilient, AI-powered transformation to shape the experiences and engagement of healthcare consumers, streamline operations, and improve the cost, quality, and equity of care.

• Business Transformation: Activate strategy for transformative outcomes and health experiences.
• Modernization: Maximize technology to drive health innovation, efficiency, and interoperability.
• Data + Analytics: Power enterprise agility and accelerate healthcare insights.
• Consumer Experience: Connect, ease, and elevate impactful health journeys.

We have been trusted by the 10 largest health systems and the 10 largest health insurers in the U.S., and Modern Healthcare consistently ranks us as one of the largest healthcare consulting firms.

Financial services leaders are turning our 2025’s top digital payments trends into reality—from leveraging AI for smarter decision-making to embedding finance for seamless customer experiences. Insights from events like Fintech South and Money20/20 reinforce that leading firms are moving fast to make these priorities into real-world strategies. We sat down with Amanda Estiverne, Director – Head of Payments, to explore how organizations are acting on these trends today, and what it means for the future of payments.

Key Trends Driving 2025 Digital Payment Strategies

AI-Driven Payment Innovations With Purpose

The next wave of artificial intelligence (AI) in payments isn’t just about efficiency. It’s about amplifying human creativity and problem‑solving to deliver hyper‑personalized, conversational payment experiences and smarter decisions while meeting rising expectations for safety and compliance.

“We’re living in a pivotal moment where artificial intelligence is no longer just about automating tasks — it’s about amplifying human creativity and problem-solving.”

At Fintech South, this theme came through loud and clear. Leaders explored how AI can empower us—not replace us—to achieve things never thought possible before. This aligns with our previous trend prediction that AI-driven payment innovations would dominate 2025, provided firms balance innovation with compliance and ethics.

Where firms are focusing:

• Personalization at scale: Using GenAI to tailor offers, loyalty, and checkout flows without adding friction.
• Conversational experiences: Voice and chat interfaces that are grounded in robust data privacy and make payments feel frictionless.
• Responsible adoption: Governance, data minimization, and explainability baked into model life cycles, not bolted on later.

Success in Action: Intelligently Mining Complex Content With an LLM Assistant

Embedded Finance for Social Good and Customer Loyalty

Embedded payments are moving beyond convenience to purpose-driven experiences to meet people where they are and close real gaps. We’re seeing momentum in:

• Earned wage access (EWA): Helping hourly and frontline workers improve resilience by accessing earned pay when it’s needed.
• Frictionless giving: Removing steps from donation flows and matching programs so generosity fits naturally into digital journeys.

“What happens when we challenge employers, financial institutions, and fintech innovators — the true system builders — to see themselves not just as service providers, but as architects of opportunity, agents of equity, and accelerators of change?”

Strategic partnerships can move the needle when they pair impact with disciplined risk and compliance. This validates our earlier prediction that embedded finance would expand beyond retail into sectors like healthcare, philanthropy, and payroll.

Where firms are focusing:

• Designing connected experiences that deepen trust and retention.
• Partnering for scale and co-creating with employers, financial institutions, and mission-driven orgs to reach underserved populations.
• Operational rigor to create clear controls for fraud, data sharing, and disclosures as embedded use cases expand.

Explore More: Build a Powerful Connected Products Strategy

Designing Payments for Fairness, Trust, and Compliance

Trust is becoming a design requirement, not a line item. Frameworks like “Fairness by Design” from Consumer Reports underscore principles including transparency, privacy, user-centricity, and financial well-being that are increasingly decisive for adoption and loyalty.

Building for inclusivity and clarity reduces drop-off and disputes while strengthening brand equity. This aligns with our February trend on navigating the regulatory landscape—where compliance and user experience converge.

Where firms are focusing:

• Designing experiences with authentication, reconciliation, and fraud prevention baked in from the first interaction.
• Leveraging advanced analytics and AI to strengthen compliance, minimize false positives, and accelerate dispute resolution.

Success In Action: Ensuring Interoperable, Compliant Real-Time Payments

How These Trends Are Shaping the Future of Payments

Payments are becoming faster, smarter, and more embedded—but also more complex. Based on our previous outlook and what we’re hearing now, here’s where firms are concentrating their investments:

• AI with accountability: Scaling intelligent automation while embedding fairness and explainability.
• Embedded finance with purpose: Turning the support of financial wellbeing and social impact into competitive differentiators.
• Real-time payments with resilience: Moving beyond speed to orchestration, fraud prevention, and liquidity optimization.

“When civic leaders, corporate visionaries, and mission-driven organizations work together, fintech becomes more than technology — it becomes a powerful force for equity, inclusion, and opportunity.”

As McKinsey notes, global payments are entering a “simpler interface, complex reality” era where user experience feels effortless, but the infrastructure behind it demands precision and trust.

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Design Responsibly and Innovate Inclusive Payment Experiences

We help payment and fintech firms innovate and boost market position with transformative digital experiences and efficient operations.

• Business Transformation: Create a roadmap to innovate products, enhance experiences, and reduce transactional risk.
• Modernization: Implement technology to improve payment processing, fraud management, and omnichannel experiences.
• Data + Analytics: Proactively leverage integrated data and AI to optimize transactions, manage fraud, and personalize experiences.
• Risk + Compliance: Enhance compliance and risk management to safeguard transactions and customer data.
• Consumer Experience: Deliver convenient, seamless experiences with user-friendly secure payment solutions.

Our approach to designing and implementing AI and machine learning (ML) solutions promotes secure and responsible adoption and ensures demonstrated and sustainable business value.

Discover why we have been trusted by 25+ leading payments and card processing companies. Explore our financial services expertise and contact us to learn more.

For years, insurers have experimented with digital initiatives, but the pace of disruption has accelerated. Legacy models can’t keep up with rising risks, evolving customer expectations, and operational pressures. The question isn’t whether insurers will transform, but rather how fast they can adapt.

Technologies like AI, advanced analytics, and embedded solutions have moved from emerging concepts to essential capabilities for competitive advantage. Earlier this year, we highlighted these opportunities in our Top 5 Digital Trends for Insurance.

As we gear up for the world’s largest event for insurance innovation in October, InsureTech Connect (ITC) Vegas, it’s clear these trends are driving the conversations that matter most. Hear from industry experts Brian Bell and Conall Chabrunn on why this moment is so transformative.

“ITC is a great opportunity to explore the latest innovations shaping the future of insurance and see how insurers are leveraging AI across the value chain—from underwriting to claims and customer engagement.” – Brian Bell, Principal

Here’s a closer look at three AI trends that are leading the way, at ITC and beyond.

1. Make AI Your Growth Engine

Artificial intelligence is a core enabler of insurance innovation. It’s powering efficiency and elevating customer experiences across the value chain. From underwriting to claims, AI enables real-time decisions, sharpens risk modeling, and delivers personalized interactions at scale. Generative AI builds on this foundation by accelerating content creation, enabling smarter agent support, and transforming customer engagement. Together, these capabilities thrive on modern, cloud-native platforms designed for speed and scalability.

Why Leaders Should Act Now:

AI creates value when it’s embedded in workflows. Focus on the high-impact domains that accelerate outcomes: underwriting, claims, and distribution. Research shows early AI adopters are already seeing measurable results:

• New-agent success and sales conversion rates increased up to 20%
• Premium growth boosted by as much as 15%
• New customer onboarding costs reduced up to 40%

“Ironically, AI has been the hottest topic at ITC the last three years. This year, the playing field has truly changed. Perficient’s AI product partners will be on full display, and we are excited to show our customers how we can enhance and optimize them for real world performance.” – Conall Chabrunn, Head of Sales – Insurance

We help clients advance AI capabilities through virtual assistants, generative interfaces, agentic frameworks, and product development, enhancing team velocity by integrating AI team members.

Read More: Empowering the Modern Insurance Agent

2. Personalize Every Moment

Today’s policyholders expect the same level of personalization they receive from other industries like retail and streaming platforms. By leveraging AI and advanced analytics, insurers can move beyond broad segments to anticipate needs, remove friction, and tailor products and pricing in the moments that matter.

Forbes highlights three key pillars of modern personalization critical for insurers aiming to deliver tailored experiences: data, intent signals, and artificial intelligence. At ITC, these principles are front and center as insurers explore how to meet expectations and unlock new revenue streams, without adding complexity.

Why Leaders Should Act Now:

Personalization isn’t just about customer experience—it’s a growth strategy. Research shows over 70% of consumers expect personalized interactions, and more than three-quarters feel frustrated when they don’t get them. Insurers that utilize AI to anticipate needs and simplify choices can earn trust and loyalty faster than those who don’t.

Success In Action: Proving Rapid Value and Creating Better Member Experiences

3. Meet Customers at the Point of Need

Embedded insurance is moving into everyday moments, and research shows it’s on a massive growth trajectory. Global P&C embedded sales are projected to reach as high as $700 billion by 2030, including $70 billion in the U.S. alone. By meeting customers where decisions happen, carriers can create seamless experiences, new revenue streams, and stronger brand visibility—while offering convenience, transparency, and choice.

Insurers that embrace ecosystems will expand their reach and relevance as consumer expectations and engagement continually shift. Agencies will continue to play a critical role in navigating difficult underwriting conditions by tailoring policy coverages and providing transparency, which requires that they have access to modern sales and servicing tools. It’s a prominent theme that’s echoed throughout ITC sessions this year.

Why Leaders Should Act Now:

AI amplifies embedded strategies by enabling real-time pricing, risk assessment, and personalized offers within those touchpoints. What matters most is making the “yes” simple: clear options, plain language, and confidence about what’s covered. Together, embedded ecosystems and AI-driven insights help insurers deliver relevance at scale when and where consumers need it.

“Perficient stands apart in the AI consulting landscape because every decision we make ties back to industry-specific use cases and measurable success criteria. We complement our technology partners by bringing deep industry expertise to ensure solutions deliver real-world impact.” – Conall Chabrunn, Head of Sales – Insurance

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Lead the Insurance Evolution With AI-First Transformation

The insurance industry is entering uncharted territory. Those who act decisively and swiftly to leverage AI, embrace embedded ecosystems, and personalize every moment will lead the curve in the next era of insurance.

As the industry gathers at events like ITC Vegas, these conversations come to life. Expect AI to be the common thread across underwriting, claims, distribution, and customer experience.

“There’s never been a more transformative time in insurance, and ITC is the perfect place to be part of the conversation.” – Brian Bell, Principal

If you’re attending ITC at Mandalay Bay in October, schedule a meeting with our team to explore how we help insurers turn disruption into opportunity.

Carriers and brokers count on us to help modernize, innovate, and win in an increasingly competitive marketplace. Our solutions power personalized omnichannel experiences and optimize performance across the enterprise.

• Business Transformation: Activate strategy and innovation ​within the insurance ecosystem.​
• Modernization: Optimize technology to boost agility and ​efficiency across the value chain.​
• Data + Analytics: Power insights and accelerate ​underwriting and claims decision-making.​
• Customer Experience: Ease and personalize experiences ​for policyholders and producers.​

We are trusted by leading technology partners and consistently mentioned by analysts. Discover why we have been trusted by 13 of the 20 largest P&C firms and 11 of the 20 largest annuity carriers. Explore our insurance expertise and contact us to learn more.

Wealth management firms are under pressure to deliver more—faster, smarter, and with greater precision. The conversations we’re hearing aren’t about what might happen in the future, but rather about what needs to happen now.

Earlier this year, we published 5 Leading Digital Trends Shaping Wealth Management in 2025, outlining the macro shifts redefining the industry. After an energizing few days at BNY INSITE25, those trends came into sharper focus and we saw firsthand how firms are beginning to operationalize these shifts—translating insight into action.

Following the event, we sat down with Ken Fishman and John Galifi to reflect on the conversations, insights, and key themes that emerged. The dialogue offered a clear view into where the wealth and asset management industry is headed and how firms are beginning to act on the trends shaping 2025.

Key Challenges and Opportunities in Digital Wealth Management

While the trends are clear, the path to execution is complex. At BNY INSITE25, several strategic themes emerged that reflect how firms are navigating this complexity. From democratizing access to alternatives to building AI-enabled workflows, these themes reveal where the industry is placing its bets—and how firms are aligning people, processes, and platforms to deliver on the promise of digital transformation.

The focus is shifting toward scalable strategies that drive growth, enhance personalization, and strengthen operational resilience by turning vision into measurable outcomes.

1. Democratizing Access to Alternatives

Platforms like Wove and iCapital are transforming how advisors access and deliver alternative investments. These tools are helping to enable greater portfolio personalization and open new distribution channels for asset managers. But with this innovation comes complexity, particularly around data aggregation, governance, and reporting.

As Ken and John noted, the firms that succeed will be those that can scale personalization without sacrificing operational integrity.

Explore More: Future-Proof Your Tech Investment

2. AI Adoption with Purpose

The AI conversation has matured. It’s no longer about experimentation, it’s about enablement. From automating marketing tear sheets to navigating regulatory complexity, firms are embedding AI into workflows to drive productivity while keeping humans in the loop.

Zico Kolter’s keynote speech emphasized the importance of intentionality in AI adoption. The focus now is on scaling with purpose—ensuring AI enhances the advisor experience rather than complicating it.

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3. Strategic Tech Stack Decisions

WealthTech innovation is empowering advisors to focus on what matters most: client relationships. But selecting and implementing the right tech stack is more complex than ever. Firms must align technology with business strategy and execute with precision.

At BNY INSITE25, conversations with leaders underscored the importance of this alignment. Whether it’s data lineage, self-service entitlements, or advisor enablement, the message was clear: technology must serve the business, not the other way around.

Success In Action: At the Heart of Financial Services

Looking Ahead: Advisor Onboarding is a Strategic Imperative

While the mainstage themes dominated the spotlight, one of the most pressing challenges surfaced inside conversations: advisor onboarding.

Unlike client onboarding, which is largely internal and process-driven, advisor onboarding is a multifaceted challenge involving legal, regulatory, and operational complexity. From licensing and credentialing to technology enablement and book of business transitions, the process is often a bottleneck for growth, especially for RIAs and broker-dealers looking to scale.

Firms are actively searching for solutions to this pain point. And for good reason: a poorly executed onboarding process can lead to compliance risks, client attrition, and advisor disengagement.

Success In Action: Speeding Insights and Powering Investment Experiences

Advisor Onboarding Framework: 12 Essentials for Wealth Management Firms

A modern advisor onboarding strategy is critical for scaling growth, ensuring compliance, and delivering a seamless advisor and client experience. As highlighted in our 2025 Wealth Management Trends, Client Advisor Empowerment was our #2 trend, and this framework is a direct reflection of that insight.

Empowered advisors need more than tools; they need a frictionless start.

A well-designed onboarding experience ensures they’re equipped from day one to deliver high-quality, personalized service efficiently and confidently.

Here are the 12 foundational components every firm should consider:

1. Talent Strategy Alignment: Tailor onboarding for advisor types—established, career changers, junior analysts, or internal successors.
2. Regulatory & Credentialing Compliance: Complete FINRA/SEC background checks, Form U4, and licensing (SIE, Series 7/66) to ensure legal readiness.
3. Data & Documentation Collection: Gather IDs, employment history, certifications, NDAs, and client lists to support CRM setup and audit compliance.
4. Technology & Platform Enablement: Provision CRM, trading tools, planning software, secure email, and cybersecurity protocols for day-one productivity.
5. Book of Business Transition: Manage ACATs, repapering, custodial setup, and client introductions to preserve trust and assets.
6. Branch Office Setup (If Applicable): Coordinate leasing, regulatory registration, IT/security installation, and local staffing for geographic expansion.
7. Support & Admin Staff Enablement: Train support teams on CRM, compliance workflows, and service protocols to enhance advisor efficiency.
8. Training & Cultural Integration: Introduce firm values, DEI principles, investment philosophy, and operational workflows to build long-term engagement.
9. Compensation & Incentive Alignment: Define compensation structures, bonuses, and performance metrics to drive advisor motivation and retention.
10. Client Communication Strategy: Send welcome kits, advisor bios, FAQs, and transition updates to build trust and reduce client attrition.
11. Cross-Functional Coordination: Engage compliance, operations, marketing, and IT teams early; assign onboarding liaisons to streamline execution.
12. Performance Milestones & Feedback: Set 30/60/90-day goals, gather feedback, and adjust support to ensure successful advisor integration.

Build Smarter, Scale Faster, and Elevate Your Wealth Strategy

BNY INSITE25 reinforced what we’ve long believed: the future of wealth and asset management is digital, data-driven, and deeply human. It’s about using technology to enhance the advisor-client relationship, and solve the real, often overlooked challenges that stand in the way of growth.

We empower wealth and asset managers with proactive insights, hyper-personalized experiences, and proactive risk management to drive sustainable growth.

• Business Transformation: Develop and optimize strategies and processes for efficient wealth management operations.
• Modernization: Upgrade technology and processes to ensure seamless integration and enhanced, streamlined client advisor experiences.
• Data + Analytics: Harness data-driven insights for personalized investment strategies, client collaboration, and operational efficiency.
• Risk + Compliance: Implement robust strategies to safeguard investor relationships and ensure regulatory adherence.
• Consumer Experience: Enhance engagement and satisfaction with tailored advisory services and digital tools.

Discover why we have been trusted by 16 of the 20 largest wealth management firms. Explore our financial services expertise and contact us to learn more.

Healthcare organizations (HCOs) face mounting pressure to boost operational efficiency, improve health and wellness, and enhance experiences. To drive these outcomes, leaders are aligning enterprise and business goals with digital investments that intelligently automate processes and optimize the health journey. 

Clinical intelligence plays a pivotal role in this transformation. It unlocks advanced data-driven insights that enable intelligent healthcare organizations to drive health innovation and elevate impactful health experiences. This approach aligns with the healthcare industry’s quintuple aim to enhance health outcomes, reduce costs, improve patient/member experiences, advance health equity, and improve the work life of healthcare teams. 

Intelligent Healthcare Organizations: Driven By Clinical Intelligence  

Our industry experts were recently interviewed by Forrester for their April 2025 report, Clinical Intelligence Will Power The Intelligent Healthcare Organization, which explores ways healthcare and business leaders can transform workflows to propel the enterprise toward next-gen operations and experiences. 

We believe the fact that we were interviewed for this report highlights our commitment to optimize technology, interoperability, and digital experiences in ways that build consumer trust, drive innovation, and support more-personalized care.  

We combine strategy, industry best practices, and technology expertise to deliver award-winning results for leading health plans and providers: 

• Business Transformation: Activate strategy for transformative outcomes and health experiences. 
• Modernization: Maximize technology to drive health innovation, efficiency, and interoperability. 
• Data Analytics: Power enterprise agility and accelerate healthcare insights. 
• Consumer Experience: Connect, ease, and elevate impactful health journeys. 

Understand and Deliver On Consumer Needs and Expectations 

Every individual brings with them an ever-changing set of needs, preferences, and health conditions. Now more than ever, consumers are flat out demanding a more tailored approach to their health care. This means it is imperative to know your audience. If you do not approach people as individuals with unique, personal needs, you risk losing them to another organization that does.  

Becoming an intelligent healthcare organization (IHO) takes more than just a technology investment; it is a complete restructuring of the enterprise to infuse and securely utilize clinical intelligence in every area and interaction.

In its report, Forrester defines an IHO as, “A healthcare organization that perpetually captures, transforms, and delivers data at scale and creates and seamlessly disseminates clinical intelligence, maximizing clinical workflows and operations and the experience of employees and customers. IHOs operate in one connected system that empowers engagement among all stakeholders.”

Ultimately, consumers – as a patient receiving care, a member engaging in their plan’s coverage, or a caregiver supporting this process – want to make and support informed health care decisions that cost-effectively drive better health outcomes. IHOs focus on delivering high-quality, personalized insights and support to the business, care teams, and consumers when it matters most and in ways that are accessible and actionable.

Orchestrate Better Health Access 

Digital-first care stands at the forefront of transformation, providing more options than ever before as individuals search for and choose care. When digital experiences are orchestrated with consumers’ expectations and options in mind, care solutions like telehealth services, find-care experiences, and mobile health apps can help HCOs deliver the right care at the right time, through the right channel, and with guidance that eases complex decisions, supports proactive health, and activates conversions. 

The shift toward digital-first care solutions means it is even more crucial for HCOs to understand real-time consumer expectations to help shape business priorities and form empathetic, personalized experiences that build trust and loyalty. 

In its report, Forrester states, “And as consumer trust has taken a hit over the past three years, it is encouraging that 72% of healthcare business and technology professionals expect their organization to increase its investment in customer management technologies.”  

Clinical intelligence, leveraged well, can transform the ways that consumers interact and engage across the healthcare ecosystem. IHOs see clinical intelligence as a way to innovate beyond mandated goals to add business value, meet consumers’ evolving expectations, and deliver equitable care and services.  

Interoperability plays a crucial role in this process, as it enables more seamless, integrated experiences across all digital platforms and systems. This interconnectedness ensures that consumers receive consistent, coordinated care, regardless of where they are seeking treatment and are supported by informed business and clinical teams. 

Mandates such as Health Level 7 (HL7) standards, Fast Healthcare Interoperability Resources (FHIR), and Centers for Medicare & Medicaid Services (CMS) Interoperability and Patient Access Final Rule are creating a more connected and data-driven healthcare ecosystem. Additionally, CMS price transparency regulations are empowering consumers to become more informed, active, and engaged patients. Price transparency and cost estimator tools have the potential to give organizations a competitive edge and drive brand loyalty by providing a transparent, proactive, personalized, and timely experience. 

The most successful organizations will build a proper foundation that scales and supports successive mandates. Composable architecture offers a powerful, flexible approach that balances “best in breed,” fit-for-purpose solutions while bypassing unneeded, costly features or services. It’s vital to build trust in data and with consumers, paving the way for ubiquitous, fact-based decision making that supports health and enables relationships across the care continuum. 

Success In Action: Empowering Healthcare Consumers and Their Care Ecosystems With Interoperable Data

Enable Caregivers and Care Teams 

As the population ages, caregivers play an increasingly important role in the healthcare journey, and their experience is distinct. They may continually move in and out of the caregiver role. It’s essential to understand and engage these vital partners, providing them with important tools and resources to support quality care.  

Clinical intelligence can provide HCOs with advanced insights into the needs of caregivers and care teams, helping clinical, operational, IT, digital, and marketing leaders design systems that support the health and efficacy of these important care providers.  

Integrated telehealth and remote monitoring have become essential to managing chronic conditions and an aging population. Intuitive, integrated digital tools and personalized messaging can help mitigate potential health barriers by proactively addressing concerns around transportation, costs, medication adherence, appointment scheduling, and more.  

A well-planned, well-executed strategy ideally supports access to care for all, creating a healthier and more-welcoming environment for team members to build trust, elevate consumer satisfaction, and drive higher-quality care.  

Success In Action: A Digital Approach to Addressing Health Equity 

Improve Operational Efficiencies for Care Teams 

HCO leaders are investing in advanced technologies and automations to modernize operations, streamline experiences, and unlock reliable insights.  

Clinical intelligence paired with intelligent automations can accelerate patient and member care for clinical and customer care teams, helping to alleviate stress on a workforce burdened with high rates of burnout.  

In its report, Forrester shares, “In Forrester’s Priorities Survey, 2024, 65% or more of healthcare business and technology professionals said that they expect their organization to significantly increase its investments in business insights and analytics, data and information management, AI, and business automation and robotics in the next 12 months.”  

It’s clear the U.S. healthcare industry stands on the cusp of a transformative era powered by advanced analytics and holistic business transformation. AI-driven automations can reduce administrative costs, while AI-enabled treatment plans offer hyper-personalized precision medicine. As technology continues to shape healthcare experiences, Felix Bradbury, Perficient senior solutions architect, shares his thoughts on the topic: 

“Trust is crucial in healthcare. Understanding how to make AI algorithms interpretable and ensuring they can provide transparent explanations of their decisions will be key to fostering trust among clinicians and patients.” 

AI can be a powerful enabler of business priorities. To power and scale effective use cases, HCOs are investing in core building blocks: a modern and secure infrastructure, well-governed data, and team training and enablement. A well-formed strategy that aligns key business needs with people, technology, and processes can turn data into a powerful tool that accelerates operational efficiency and business success, positioning you as an intelligent healthcare organization.  

Success In Action: Engaging Diverse Audiences As They Navigate Cancer Care 

Healthcare Leaders Turn To Us

Discover why we have been trusted by the 10 largest health systems and the 10 largest health insurers in the U.S. Explore our healthcare expertise and contact us to learn more. 

As technology continues to advance, patients and care teams expect to seamlessly engage with tools that support better health and accelerate progress. These developments demand the rapid, secure, scalable, and compliant sharing of data. 

By aligning enterprise and business goals with digital technology, healthcare organizations (HCOs) can activate strategies for transformative outcomes and improve experiences and efficiencies across the health journey. 

IDC Market Glance: Healthcare Provider Operational IT Solutions, 1Q25 

Perficient is proud to be included in the categories of IT Services and SI services in the IDC Market Glance: Healthcare Provider Operational IT Solutions, 1Q25 report (doc #US52221325, March 2025). We believe our inclusion in this report’s newly introduced “Services” segmentation underscores our expertise to leverage AI-driven automation and advanced analytics, optimize technology investments, and navigate evolving industry challenges. 

IDC states, “This expansion reflects the industry’s shift toward outsourced expertise, scalable service models, and strategic partnerships to manage complex operational IT and infrastructure efficiently.” 

IDC defines IT Services as, “managed IT services, ensuring system reliability, cybersecurity, and infrastructure optimization. These solutions support healthcare provider transformation initiatives, helpdesk management, network monitoring, and compliance with healthcare IT regulations.” The SI Services category is defined by IDC as, “system integration services that help deploy technologies and connect disparate systems, including EHRs, RCM platforms, ERP solutions, and third-party applications to enhance interoperability, efficiency, automation, and compliance with industry standards.”  

Advanced Solutions for Data-Driven Success 

We imagine, engineer, and optimize scalable, reliable technologies and data, partnering with healthcare leaders to better understand consumer expectations and strategically align digital investments with business priorities.  

Our end-to-end professional services include: 

• Digital transformation strategy:  The healthcare industry’s rapid evolution requires attention in several areas – adopting new care models, capitalizing on disruptive technologies, and affecting regulatory, operational, financial, and organizational change. We equip HCOs to recognize and speed past potential hurdles in order to maximize ROI by making the most of technology, operational, and financial resources. 

• Cloud-native environments: Cloud technology is the primary enabler of business transformation and outcomes-focused value. Investing in cloud allows HCOs to overcome limitations of legacy systems, improve stability, and reduce costs. It also leads to better solution quality, faster feature delivery, and encourages a culture of innovation. Our expert consultants tailor cloud solutions to unique business needs, empowering teams and fueling growth, intelligence, and long-term profitability. 

• Hyper-scalable data infrastructures: We equip HCOs to maximize the value of information across the care ecosystem by uncovering the most meaningful, trustworthy data and enriching it with critical context so you can use it to answer difficult questions, power meaningful experiences, and automate smart decisions. Trusting data begins with having trust in the people, processes, and systems that source, move, transform, and manage that data. We partner to build data into a powerful, differentiating asset that can accelerate clinical, marketing, and operational excellence as information is exchanged across organizations, systems, devices, and applications. 

• AI ecosystems: HCO’s face mounting competition, financial pressures, and macro uncertainties. Enhance operations with innovative and intelligent AI and automation solutions that help you overcome complex challenges, streamline processes, and unlock new levels of productivity. Holistic business transformation and advanced analytics are front and center in this industry evolution, and generative AI (GenAI) and agentic AI have fundamentally shifted how organizations approach intelligence within digital systems. According to IDC, “GenAI will continue to redefine workflows, while agentic AI shows promise to drive real-time, responsive, and interpretive orchestration across operations.” Position yourself for success now and in the future with enhanced customer interactions, reduced operational costs, and data-driven decision-making powered by our AI expertise. 

• Digital experiences: Digital-first care options are changing the face of healthcare experiences, bringing commerce-like solutions to consumers who search for and choose care that best fits their personal priorities and needs. We build high-impact experience strategies and put them in motion, so your marketing investments drive results that grow lasting relationships and support healthy communities. As the healthcare landscape continues to evolve – with organizational consolidations and new disruptors reshaping the marketplace – we help you proactively and efficiently attract and nurture prospective patients and caregivers as they make health decisions. 

We don’t just implement solutions; we create intelligent strategies that align technology with your key business priorities and organizational capabilities. Our approach goes beyond traditional data services. We create AI-ready intelligent ecosystems that breathe life into your data strategy and accelerate transformation. By combining technical excellence, global reach, and a client-centric approach, we’re able to drive business transformation, boost operational resilience, and enhance health outcomes. 

Success in Action: Illuminating a Clear Path to Care With AI-Enabled Search 

Empower Healthcare Experiences Through Innovative Technology 

Whether you want to redefine workflows, personalize care pathways, or revolutionize proactive health management, Perficient can help you boost efficiencies and a competitive edge.  

We combine strategy, industry best practices, and technology expertise to deliver award-winning results for leading health systems: 

• Business Transformation: Transform strategy into action: improve operations, lower costs, build operational resilience, and optimize care. 

• Modernization: Provide quality, cost-effective tools and platforms that enable exceptional care. 

• Data Analytics: Enable trusted data access and insight to clinical, operational, and financial teams across the healthcare ecosystem. 

• Consumer Experience: Harness data and technology to drive optimal healthcare outcomes and experiences. 

Discover why we have been trusted by the 10 largest health systems and the 10 largest health insurers in the U.S. Explore our healthcare expertise and contact us to learn more.

Health insurers today are navigating intense technological and regulatory requirements, along with rising consumer demand for seamless digital experiences. Leading organizations are investing in advanced technologies and automations to modernize operations, streamline experiences, and unlock reliable insights. By leveraging scalable infrastructures, you can turn data into a powerful tool that accelerates business success.

IDC Market Glance: Payer, 1Q25

Perficient is proud to be included in the IDC Market Glance: Payer, 1Q25 (doc#US53200825, March 2025) report for the second year in a row. According to IDC, this report “provides a glance at the current makeup of the payer IT landscape, illustrates who some of the major players are, and depicts the segments and structure of the market.”

Perficient is included in the categories of IT Services and Data Platforms/Interoperability. IDC defines the IT Services segment as, “Systems integration organizations providing advisory, consulting, development, and implementation services. Some IT Services firms also have products/solutions.” The Data Platforms/Interoperability segment is defined by IDC as, “Firms that provide data, data aggregation, data translation, data as a service and/or analytics solutions; either as off-premise, cloud, or tools on premise used for every aspect of operations.”

Discover Strategic Investments for Innovation and Success

Our strategists are committed to driving innovative solutions and guiding insurers on their digital transformation journey. We feel that our inclusion in this report reinforces our expertise in leveraging digital capabilities to unlock personalized experiences and drive greater operational efficiencies with our clients’ highly regulated, complex healthcare data.

The ten largest health insurers in the United States have counted on us to help drive the outcomes that matter most to businesses and consumers. Our experts can help you pragmatically and confidently navigate the intense regulatory requirements and consumer trends influencing digital investments. Learn more and contact us to discover how we partner to boost efficiencies, elevate health outcomes, and create differentiated experiences that enhance consumer trust.