Healthcare Payers Turn to Data Analytics for Cost Savings and Improved Outcomes
Facing persistent financial and staffing pressures, healthcare payers are increasingly adopting data analytics platforms to streamline operations, reduce costs, and enhance member outcomes. A new April 2025 report from KLAS Research offers its first evaluation of payer experiences with these solutions, highlighting key vendors and emerging trends. The Growing Role of Data Analytics in Payer Operations With healthcare organizations under constant pressure to improve efficiency and decision-making, data analytics tools provide critical visibility into claims data, utilization patterns, and financial performance. These platforms enable payers to: While KLAS’ research in this space is still evolving, the initial report assesses three leading vendors, with plans to expand coverage as more data becomes available. Key Vendor Performances 1. MedInsight – Best in KLAS 2025 (Score: 85.8) 2. MedeAnalytics (Score: 87.1) 3. Clarify Health Solutions 4. Salesforce Health Cloud Looking Ahead: Expanding the Vendor Landscape Additional players like CareJourney (acquired by Arcadia in 2024), Cedar Gate Technologies, and Cognizant are expected to be evaluated in future KLAS reports as more performance data emerges. The Bottom Line As payers seek greater efficiency and data-driven decision-making, analytics platforms are becoming indispensable. While MedInsight and MedeAnalytics lead in early adoption, the competitive landscape is still evolving—making future KLAS insights critical for payer organizations evaluating their options. Next Steps: With the right analytics partner, payers can unlock cost savings, operational efficiencies, and better member outcomes—key priorities in today’s challenging healthcare environment. Like Related Posts Salesforce OEM AppExchange Expanding its reach beyond CRM, Salesforce.com has launched a new service called AppExchange OEM Edition, aimed at non-CRM service providers. Read more The Salesforce Story In Marc Benioff’s own words How did salesforce.com grow from a start up in a rented apartment into the world’s Read more Salesforce Jigsaw Salesforce.com, a prominent figure in cloud computing, has finalized a deal to acquire Jigsaw, a wiki-style business contact database, for Read more Service Cloud with AI-Driven Intelligence Salesforce Enhances Service Cloud with AI-Driven Intelligence Engine Data science and analytics are rapidly becoming standard features in enterprise applications, Read more