What AI means for PBMs in 2025

AI is reshaping Pharmacy Benefit Manager (PBM) workflows from prior authorisation to medication adherence, helping organisations cut costs, speed up therapy starts, and improve member outcomes. As PBMs face rising administrative pressures and growing demands for digital-first engagement, automation platforms such as Ushur’s Customer Experience Automation™ solution are emerging as critical tools to modernise high-volume processes, strengthen compliance, and deliver more transparent, proactive communication across the pharmacy ecosystem.

What AI means for PBMs in 2025

November 19, 2025

AI is reshaping Pharmacy Benefit Manager (PBM) workflows from prior authorisation to medication adherence, helping organisations cut costs, speed up therapy starts, and improve...

It was a cold, crisp day on a snow-covered Swiss mountain. Peter Ohnemus was hiking uphill on skis, the chill in the air and the crunch of snow underfoot sharpening his thoughts. As he paused to catch his breath, he began wondering how we can measure the positive impact of exercise on his health.

The ski trip that sparked a digital health revolution

November 14, 2025

It was a cold, crisp day on a snow-covered Swiss mountain. Peter Ohnemus was hiking uphill on skis, the chill in the air and...

AXA Global Healthcare, a leading international private medical insurance provider, has announced a strategic collaboration with Old Mutual General Insurance Kenya, and Executive Healthcare Solutions (EHS), to strengthen its presence in the African international private medical insurance (IPMI) market.

AXA Global boost African presence with new partnership

November 13, 2025

AXA Global Healthcare, a leading international private medical insurance provider, has announced a strategic collaboration with Old Mutual General Insurance Kenya, and Executive Healthcare...

Hexure, the leader in digital sales solutions for the insurance and financial services industry, has announced significant upgrades to its unified platform, strengthening its capabilities for life insurance carriers and distributors.

Hexure enhances unified life and annuity platform

November 13, 2025

Hexure, the leader in digital sales solutions for the insurance and financial services industry, has announced significant upgrades to its unified platform, strengthening its...

Techficient, a leading FinTech company specialising in AI-driven insurance solutions, has unveiled enhancements to its Dynamic platform, as it looks to redefine efficiency and accuracy in life insurance quoting and submission.

Dynamic by Techficient transforms life insurance submissions

November 11, 2025

Techficient, a leading FinTech company specialising in AI-driven insurance solutions, has unveiled enhancements to its Dynamic platform, as it looks to redefine efficiency and...

Obesity’s economic impact is reaching unsustainable levels, with the McKinsey Health Institute projecting a $2.67tn GDP loss by 2050. Insurers, providers, and self-insured employers are seeing costs soar from chronic conditions linked to a high BMI. Modest weight loss is helping firms trim the fat on their outgoings, so the key challenge is scaling and sustaining this behavioural change.

dacadoo’s data-led approach to cutting healthcare costs

November 11, 2025

Obesity’s economic impact is reaching unsustainable levels, with the McKinsey Health Institute projecting a $2.67tn GDP loss by 2050. Insurers, providers, and self-insured employers...

For decades, healthcare and insurance contact centres have struggled to balance operational efficiency with genuine empathy. Customers want quick, accurate answers about their care, coverage or claims — but legacy manual workflows often make that difficult — and AI is here to change that, according to Ushur.

The rise of AI-driven self-service in healthcare and insurance

November 11, 2025

For decades, healthcare and insurance contact centres have struggled to balance operational efficiency with genuine empathy. Customers want quick, accurate answers about their care,...

For decades, provider support in health plans has relied on call centres to handle benefit verifications, claim checks, and credentialing updates. While necessary, these interactions are repetitive, slow, and costly. Benefits verification alone can account for 60–70% of calls, highlighting the inefficiency of traditional provider support models.

How Ushur is transforming provider support with AI

October 31, 2025

For decades, provider support in health plans has relied on call centres to handle benefit verifications, claim checks, and credentialing updates. While necessary, these...

dacadoo, a digital health engagement company, has partnered with Specialist Direct, a digital health solutions subsidiary of Swisstec, to provide a holistic health experience that supports users from initial recovery through sustained wellbeing.

dacadoo and Specialist Direct partner for holistic health

October 30, 2025

dacadoo, a digital health engagement company, has partnered with Specialist Direct, a digital health solutions subsidiary of Swisstec, to provide a holistic health experience...

Cylerity raises $4m to speed payments

October 29, 2025

Cylerity, a Madison-based healthcare FinTech using AI to accelerate payments to providers, has raised $4m in an oversubscribed seed round and secured a $24m...