New Healthcare Payor Digital Services 2026 RadarView™ profiles 28 recognized providers supporting core modernization, interoperability, and member engagement.
LOS ANGELES, CA – July, 2026
Avasant, a leading management consulting and research firm, has released its Healthcare Payor Digital Services 2026 RadarView™, examining how health plans are responding to cost pressures and operational complexity through digital transformation.
Avasant evaluated 48 providers and recognized 28 across five categories: Leaders, Innovators, Disruptors, Challengers, and Tech Pioneers.
Among the report’s key findings:
- Health plans are consolidating fragmented core systems. Cloud-native platforms connect claims, enrollment, care management, and service functions to improve scalability.
- AI and automation are reducing administrative effort. Payors are applying intelligent tools across claims, authorization, payment integrity, and member support.
- Interoperability is accelerating workflow modernization. FHIR-based data exchange and electronic prior authorization support faster approvals and better provider and member experiences.
- Value-based care is driving shared data investment. Population health tools, predictive analytics, and risk stratification help payors address care gaps and align provider incentives.
Health plans should align modernization investments with service quality, efficiency, and accountability for automated decisions.
“Interoperability mandates and operational complexity are driving core system modernization across healthcare payors,” said Nishant Verma, Managing Partner at Avasant.
Providers support cloud-native architectures, responsible AI controls, and digital engagement to address payor transformation priorities.
The companion Healthcare Payor Digital Services 2026 Market Insights™ examines demand-side trends.
Evaluating the evolving provider landscape
The Healthcare Payor Digital Services 2026 RadarView™ assesses practice maturity and future-proofing. Research inputs include provider briefings, public disclosures, client validation, and ongoing market interactions.
Its 28 profiles cover industry solutions, clients, partnerships, case studies, and analyst insights to support enterprise partner selection.
Read the research:
Healthcare Payor Digital Services 2026 RadarView™
Healthcare Payor Digital Services 2026 Market Insights™
Media Contact
Shael Roopchand
Senior Director, Corporate Strategy
Avasant
Email: shael.roopchand@avasant.com
www.avasant.com