Latest news with #CareAllies
Associated Press
13-07-2025
- Business
- Associated Press
Top Payer IT Consulting Priorities for 2025-2026: Health Plans Intensify Focus on AI, Value-Based Care, Compliance, and Digital Transformation
Black Book Survey of 1,200+ Executives Names Top-Rated Advisory Firms for Strategic, ROI-Driven Transformation WASHINGTON, D.C., 3683 / ACCESS Newswire / July 13, 2025 / A new survey of 1,202 executives from national, regional, and specialty health plans reveals surging demand for expert consulting services as payers face unprecedented digital, financial, and regulatory transformation. The Q2 2025 Black Book Research study ranks the top-performing advisory firms in each priority area, based on client satisfaction, outcomes, ROI, and 18 proprietary key performance indicators. Strategic Priorities: Survey Highlights For 2025-2026, health plans cite value-based reimbursement, artificial intelligence, digital integration, compliance, and consumer engagement as their top areas for advisory firm engagement. Ninety-two percent of executives expressed a preference for independent, vendor-neutral consultants to ensure actionable, unbiased guidance. Top-Ranked Payer IT Advisory Firms Value-Based Care & Reimbursement Optimization Ranked by performance in provider alignment, financial impact, and contract innovation CareAllies: (#1 for eight consecutive years): Highest scores for payer-provider collaboration, MA contract model transformation, and value-based enablement. Lumeris: Top-rated for accountable care strategy, operationalizing value-based initiatives, and STAR ratings improvement. Milliman: Leader in financial modeling, risk adjustment methodology, and payment analytics for VBC. ___________ AI & Advanced Analytics Consulting Ranked by outcomes in automation, forecasting, and operational ROI SAS Institute - Health & Life Sciences: Highest for actuarial forecasting, claims automation, and predictive fraud detection tools. Optum Advisory Services: Client satisfaction leader for second year in AI-powered modeling, analytics deployment, and clinical data use. Fractal Analytics: Recognized for intelligent automation, AI maturity frameworks, and operationalization of analytics. __________ Digital Health Strategy & Ecosystem Integration Rated for digital platform enablement, virtual care, and infrastructure modernization Chartis Group: #1 for virtual care strategy, digital health transformation, and infrastructure integration. PwC Health Industries Advisory: Rated for comprehensive digital planning, interoperability, and patient/member engagement strategies. Huron Consulting Group: Top client marks for readiness assessments, digital ops alignment, and IT modernization support. __________ Regulatory Compliance & CMS Audit Readiness Evaluated on compliance outcomes, risk mitigation, and audit performance Deloitte: Highest client scores in regulatory tech implementation and CMS audit response readiness. Inovalon Consulting & Analytics: Leader in audit risk reduction through analytics and compliance advisory. Guidehouse: Top marks for proven success in RADV audits, risk adjustment, and regulatory readiness. __________ Pricing Transparency & Consumer Engagement Assessed by transparency tool effectiveness, consumer experience, and enrollment optimization Softheon: #1 in ACA enrollment, member-facing quoting platforms, and transparency integration. ZS Associates: Strong client outcomes in benefit pricing, segmentation, and digital experience design. EY-Parthenon: Trusted for journey mapping, behavioral economics, and consumer digital strategy. _________ Key Trends Driving 2026 Advisory Demand Survey respondents identified four primary trends fueling the need for external consulting partners: Generative AI in claims and prior authorization. Predictive analytics for cost, quality, and patient/member engagement. ROI-based digital health evaluations to ensure investments deliver measurable returns. CMS compliance and audit preparedness as oversight expands. 'Health plans are navigating the most complex transformation period in recent memory,' said Doug Brown, President of Black Book Research. 'Executives are choosing external advisory partners for their track record of measurable outcomes, unbiased insight, and proven client satisfaction-especially as value-based care, AI, and digital health become the foundation of payer strategy.' About the Survey The Q2 2025 Black Book Research survey gathered responses from 1,202 validated health plan, PBM, Medicaid, Medicare Advantage, and commercial payer executives. Advisory firms were evaluated and ranked on 18 KPIs, including outcomes, ROI, responsiveness, innovation, strategic alignment, and client satisfaction. Contact: [email protected] | 800-863-7590 | Contact InformationPress Office 8008637590 SOURCE: Black Book Research press release
Yahoo
13-07-2025
- Business
- Yahoo
Top Payer IT Consulting Priorities for 2025-2026: Health Plans Intensify Focus on AI, Value-Based Care, Compliance, and Digital Transformation
Black Book Survey of 1,200+ Executives Names Top-Rated Advisory Firms for Strategic, ROI-Driven Transformation WASHINGTON, D.C., 3683 / / July 13, 2025 / A new survey of 1,202 executives from national, regional, and specialty health plans reveals surging demand for expert consulting services as payers face unprecedented digital, financial, and regulatory transformation. The Q2 2025 Black Book Research study ranks the top-performing advisory firms in each priority area, based on client satisfaction, outcomes, ROI, and 18 proprietary key performance indicators. Strategic Priorities: Survey Highlights For 2025-2026, health plans cite value-based reimbursement, artificial intelligence, digital integration, compliance, and consumer engagement as their top areas for advisory firm engagement. Ninety-two percent of executives expressed a preference for independent, vendor-neutral consultants to ensure actionable, unbiased guidance. Top-Ranked Payer IT Advisory Firms Value-Based Care & Reimbursement OptimizationRanked by performance in provider alignment, financial impact, and contract innovation CareAllies: (#1 for eight consecutive years): Highest scores for payer-provider collaboration, MA contract model transformation, and value-based enablement. Lumeris: Top-rated for accountable care strategy, operationalizing value-based initiatives, and STAR ratings improvement. Milliman: Leader in financial modeling, risk adjustment methodology, and payment analytics for VBC. ___________ AI & Advanced Analytics ConsultingRanked by outcomes in automation, forecasting, and operational ROI SAS Institute - Health & Life Sciences: Highest for actuarial forecasting, claims automation, and predictive fraud detection tools. Optum Advisory Services: Client satisfaction leader for second year in AI-powered modeling, analytics deployment, and clinical data use. Fractal Analytics: Recognized for intelligent automation, AI maturity frameworks, and operationalization of analytics. __________ Digital Health Strategy & Ecosystem IntegrationRated for digital platform enablement, virtual care, and infrastructure modernization Chartis Group: #1 for virtual care strategy, digital health transformation, and infrastructure integration. PwC Health Industries Advisory: Rated for comprehensive digital planning, interoperability, and patient/member engagement strategies. Huron Consulting Group: Top client marks for readiness assessments, digital ops alignment, and IT modernization support. __________ Regulatory Compliance & CMS Audit ReadinessEvaluated on compliance outcomes, risk mitigation, and audit performance Deloitte: Highest client scores in regulatory tech implementation and CMS audit response readiness. Inovalon Consulting & Analytics: Leader in audit risk reduction through analytics and compliance advisory. Guidehouse: Top marks for proven success in RADV audits, risk adjustment, and regulatory readiness. __________ Pricing Transparency & Consumer EngagementAssessed by transparency tool effectiveness, consumer experience, and enrollment optimization Softheon: #1 in ACA enrollment, member-facing quoting platforms, and transparency integration. ZS Associates: Strong client outcomes in benefit pricing, segmentation, and digital experience design. EY-Parthenon: Trusted for journey mapping, behavioral economics, and consumer digital strategy. _________ Key Trends Driving 2026 Advisory Demand Survey respondents identified four primary trends fueling the need for external consulting partners: Generative AI in claims and prior authorization. Predictive analytics for cost, quality, and patient/member engagement. ROI-based digital health evaluations to ensure investments deliver measurable returns. CMS compliance and audit preparedness as oversight expands. "Health plans are navigating the most complex transformation period in recent memory," said Doug Brown, President of Black Book Research. "Executives are choosing external advisory partners for their track record of measurable outcomes, unbiased insight, and proven client satisfaction-especially as value-based care, AI, and digital health become the foundation of payer strategy." About the SurveyThe Q2 2025 Black Book Research survey gathered responses from 1,202 validated health plan, PBM, Medicaid, Medicare Advantage, and commercial payer executives. Advisory firms were evaluated and ranked on 18 KPIs, including outcomes, ROI, responsiveness, innovation, strategic alignment, and client satisfaction. Contact: research@ | 800-863-7590 | Contact Information Press Office research@ SOURCE: Black Book Research View the original press release on ACCESS Newswire
Yahoo
11-03-2025
- Business
- Yahoo
CareAllies Leads 2025 Black Book Survey for Eighth Consecutive Year as Top-Rated Value-Based Care Advisor
PHILADELPHIA, PENNSYLVANIA / / March 11, 2025 / Black Book Research has announced that accountable care organizations, independent physician associations and physician groups ranked CareAllies as the highest-rated Value-Based Care (VBC) Transformation and Strategy Advisory firm. Based on feedback from 1,206 providers in value-based care arrangements, CareAllies continues its industry leadership, earning the highest client satisfaction scores across multiple advisory performance metrics. For the eighth consecutive year, CareAllies has achieved top rankings in 11 of 18 updated VBC-centric key performance indicators (KPIs) that Black Book evaluates in its annual independent assessment of consulting firms. Clients rated CareAllies highest for Comprehensive Advisory Expertise, Industry Knowledge and Domain Expertise, Change Management, Client Outcomes, Strategic Alignment, Quality and Feasibility of Solutions, Use of Cutting-Edge Methodologies, Adaptability to Emerging Industry Trends, Regulatory Compliance, Relationship Management, and Ethical Practices. "We're honored to be recognized as the top-rated Value-Based Care Advisor for the eighth consecutive year," said Rob Cetti, president, CareAllies. "This recognition is a testament to our unwavering commitment to helping physician organizations navigate the complex landscape of value-based care. Our solutions not only improve quality and performance in value-based contracts but also have a direct impact on patient health outcomes." According to Black Book's 2025 survey results analysis, healthcare organizations that engaged top-rated VBC advisors saw substantial gains in both financial and operational performance. The survey found that medical groups working with VBC consultants experienced: A 38% improvement in financial performance, including better alignment with payer reimbursement structures and increased shared savings. A 35% increase in operational efficiency, as measured by workflow enhancements, streamlined administrative processes, and effective care coordination. A 29% rise in provider engagement and satisfaction, attributed to improved change management strategies and clinical decision support. A 16% decrease in avoidable hospital readmissions, demonstrating the effectiveness of data-driven risk stratification and care intervention programs. "Value-based care consulting requires a sophisticated balance of financial acumen, clinical transformation expertise, and regulatory adherence," said Doug Brown, President of Black Book Research. "CareAllies has consistently demonstrated its ability to integrate advanced risk stratification methodologies, predictive analytics, and provider network optimization into its advisory framework. By aligning strategic initiatives with the intricacies of multi-payer environments, CareAllies enables physician groups and accountable care organizations to maximize financial sustainability while achieving superior patient outcomes. The firm's emphasis on tailored advisory approaches, including proprietary care coordination models and innovative reimbursement optimization techniques, has made it a dominant force in this space year after year." Black Book Market Research LLC is an independent industry-leading market intelligence firm. Since 2013, over three million healthcare professionals have participated in Black Book surveys, evaluating the performance of healthcare technology and consulting vendors. Black Book's research is conducted independently, with no vendor influence, ensuring transparent, unbiased results for decision-makers in healthcare IT, digital transformation, and value-based care advisory. For in-depth methodology details including survey confidence calculations, research findings, and full survey results, visit or contact Research@ As a benefit to industry stakeholders, Black Book is offering a gratis copy of the 2025 Black Book of Healthcare IT Consultants and Advisory Firms at as well as a gratis copy of the 2025 Population Health and Value-Based Care Yearbook at as appreciation to the thousands of survey participants and interested parties. Contact Information Press Office research@ SOURCE: Black Book Research View the original press release on ACCESS Newswire Sign in to access your portfolio
