Advancing Care Coordination, Equity and AI Integration | Predictions for 2025

Looking toward 2025, we will see improved care coordination and member engagement as more payers align to trust frameworks and standards like Trusted Exchange Framework and Common Agreement [TEFCA] and Fast Healthcare Interoperability Resources [FHIR].

Additionally, more healthcare organizations will leverage AI [artificial intelligence] to identify at-risk patients and proactively provide recommendations for treatment and aid based on social determinants of health. Healthcare organizations placing greater emphasis on health equity will expand initiatives like vaccination campaigns and preventive care programs to better meet the needs of high-risk populations.

Finally, as AI expands across the industry, we will also see increased adoption of AI in claims processing and fraud detection to reduce manual intervention and errors.