Emids

Wellness matters — and members are paying attention. 79% of members say wellness programs are a key factor when choosing a health plan. That’s a strong signal to payers: Even if adoption is low, the demand is real. Payers that meet members where they are — digitally, behaviorally, and emotionally — are more likely to see higher engagement and success in supporting their personal health goals. By embedding member-centric design into digital experiences — grounded in demographic insights, SDOH factors, and technology access — payers can turn intent into real, sustained engagement. Explore more in The Definitive Member Engagement Playbook for Payers: https://lnkd.in/ehaQgne4 #WellnessPrograms #MemberEngagement #DigitalHealth #PayerStrategy #HealthEquity #EmidsInsights

If navigation isn't easy, engagement won't last. Our survey found that members — across all age groups — rate their ease of navigating digital health platforms at just 3.5 out of 5. That’s not just a design issue — it’s an opportunity. To drive lasting engagement, payers must invest in intuitive, frictionless digital experiences that meet members where they are — not where we assume they’ll be. Learn more in The Definitive Member Engagement Playbook for Payers: https://lnkd.in/ehaQgne4 #HealthcareUX #MemberExperience #DigitalHealth #PayerStrategy #EmidsInsights #HealthEquity

Why are members struggling to stay engaged with their health plans? Our research reveals that lack of motivation, confusion about benefits, and uncertainty on where to start are major blockers to health maintenance. 35% of members cite motivation as their biggest barrier. That’s a signal — not just a stat. For payers, this means designing digital tools that do more than inform — they must guide, support, and empower members. From AI-enabled virtual assistants to intuitive benefit navigation, it’s time to rethink how we help members take the first step. Explore more insights in The Definitive Member Engagement Playbook for Payers: https://lnkd.in/ehaQgne4 #MemberEngagement #DigitalHealth #PayerStrategy #HealthEquity #EmidsInsights #WellnessTools

Healthcare has been held back by complexity. We built intelligent AI to simplify and accelerate it. At Emids, we don’t just understand the language of Healthcare and AI; we are fluent. With 26 years in Healthcare, we know where the friction lies and how to replace it with seamless experiences. We turn data complexity into clarity, driving AI that delivers real, impactful results. Healthcare leaders trust us with their AI transformations and here are just some of the project outcomes we've delivered: ✔️ 2000+ referrals processed daily with automation ✔️ 17,000 hours saved annually in admin tasks ✔️ $5.5M+ in projected savings from automated workflows ✔️ 4X faster reimbursement cycles Our AI Continuum includes: 🔵 AI-driven automation that slashes costs and accelerates workflow efficiency 🔵 Intelligent decision systems that optimize personalized care and patient outcomes 🔵 Agentic AI that cuts through denials, automates referrals, and secures payment integrity at scale 🔵 Seamless system integration that amplifies productivity without disrupting your operations 🔵 Robust data readiness by addressing regulatory and compliance risks, eliminating inefficiencies from fragmented data, and improving AI model accuracy. We’re building the future of healthcare with AI, and it’s already working. Find out more: https://lnkd.in/eUDtRWYn #HealthcareAI #Healthcare #RevenueCycle #AIAgents #AgenticAI #ClaimsProcessing

1 in 3 Medicare Advantage members still aren’t using digital tools. That’s not a tech issue — it’s an accessibility and engagement challenge. For payers, this is a call to action. Meeting members where they are is no longer optional — it’s essential to closing the care gap. Explore more insights in the Emids Member Engagement Survey Report: https://lnkd.in/ehaQgne4 #MemberEngagement #DigitalHealth #HealthcareAccessibility #MedicareAdvantage #PayerStrategy #EmidsInsights

Barriers to digital engagement go beyond just technology. Our survey reveals that many members avoid digital tools not because they can’t — but because they don’t know about them, don’t trust them, or don’t see the value. Designing better platforms is only part of the solution. Payers must invest in building trust, awareness, and relevance to truly engage every member. Read the full Member Engagement Survey Report: https://lnkd.in/ehaQgne4 #MemberEngagement #DigitalHealth #PayerStrategy #HealthEquity #EmidsInsights #TrustInHealthcare

CMS has finalized a 5.06% rate hike for Medicare Advantage in 2026. For payers, it’s a critical moment to strengthen benefits, engagement, and digital capabilities. But with rising expectations comes greater scrutiny on Star Ratings, Risk Adjustment and Part D Redesign. At Emids, we help payers act early and strategically with a Star Rating Prediction Model that: – Tracks evolving CMS methodologies – Identifies performance gaps early – Drives action through agentic AI Let’s prepare for what’s next. Talk to our team today. https://lnkd.in/g8g9XXGp

80% of members are digitally engaged with their health plans — but not everyone is being reached. Despite high engagement rates, awareness, usability, and value perception remain major barriers — especially for MAP members. Digital equity starts with inclusive design and meaningful communication. Dive into the data: https://lnkd.in/ehaQgne4 #DigitalInclusion #HealthEquity #MedicareAdvantage #PayerInnovation #EmidsInsights

Are Your Digital Tools Truly Engaging Your Members? Digital engagement is no longer a feature for healthcare payers—it’s a strategic differentiator. Yet, many health plans continue to invest in tools that members don’t fully use or value. To uncover what truly drives digital engagement, Emids surveyed 789 health plan members across Employer-Provided, Medicare Advantage, and Direct Purchase plans. Our latest survey, Bridging the Care Gap: Rethinking Member Connections in a Digital-First World reveals: ✅ The digital functions members rely on most ✅ Key gaps and barriers in usability, awareness, and perceived value ✅ Actionable strategies to personalize, simplify, and scale engagement Download the full report: https://lnkd.in/ehaQgne4 #DigitalHealth #MemberEngagement #PayerStrategy #HealthcareInnovation

"FHIR is flipping the script on data management—shifting the focus from spending 80% of the time gathering data to spending 80% extracting value from it.” Mark Scrimshire, Chief Interoperability Officer at Onyx, shares how standardized FHIR APIs are transforming payer interoperability by breaking down silos and simplifying data exchange. In our latest fireside chat, Emids’ Dev Kripa Roy and Kim Cope along with Onyx’s Mark Scrimshire explore how payers can leverage this opportunity to drive efficiency and compliance. Watch the full conversation here: https://lnkd.in/evbd2GhB #Interoperability #FHIR #HealthcareIT #PayerInnovation