- In April 2024, Optum, a leading health services provider under UnitedHealth Group, launched a next-generation AI-powered claims adjudication engine aimed at accelerating processing times and reducing errors. The solution integrates predictive analytics to flag anomalies, enhancing fraud detection and improving reimbursement accuracy. This development reflects Optum’s commitment to advancing automation and data intelligence in healthcare payer operations
- In March 2024, Cognizant Technology Solutions expanded its healthcare payer platform with new features focused on regulatory compliance and value-based reimbursement models. The upgrade includes enhanced interoperability capabilities, allowing better integration with electronic health records and health information exchanges. This move strengthens Cognizant’s position in providing scalable, compliant solutions for both private and public payers
- In February 2024, Change Healthcare, now part of Optum, introduced an advanced payment accuracy platform to help payers identify and prevent overpayments before claims are settled. The platform utilizes real-time analytics and AI algorithms, demonstrating the growing demand for intelligent cost containment tools in payer ecosystems
- In January 2024, Infosys Ltd. announced a strategic partnership with a leading U.S. health insurer to modernize its core payer systems using cloud-native architecture. The collaboration focuses on delivering enhanced member experiences, real-time claims tracking, and operational agility through a fully integrated digital solution
- In December 2023, EXL Service Holdings Inc. launched a dedicated healthcare payer analytics suite designed to support population health management and risk stratification. By enabling payers to derive actionable insights from vast healthcare datasets, the solution supports improved care coordination and outcome-based planning, highlighting the industry's pivot toward data-driven strategies
