Gartner® Innovation Insight: No-Code Agent Builders Improve Efficiency for U.S. Healthcare Payers
Cut operational costs, automate complex workflows, and deliver better member experiences—without heavy engineering.
What’s Inside?
- What No-Code Agent Builders (NCABs) actually are
Understand how AI agent platforms shift automation from IT-heavy builds to business-led execution. - Real healthcare payer use cases
From prior authorizations to eligibility checks, enrollment, appeals, and service requests—see where AI agents drive immediate impact. - How to unlock faster ROI with AI agents
Learn why rapid prototyping, built-in integrations, and business-user accessibility accelerate deployment and outcomes. - Key risks and how to manage them
Governance gaps, data security, compliance, and “agent-washing”—what to watch for before you invest. - A readiness framework for adoption
Step-by-step guidance on evaluating infrastructure, skills, governance, and rollout strategy before deploying AI agents.
Why It Matters
- The Shift Is Already Happening
According to Gartner®, 70% of healthcare payers are expected to automate workflows and services using AI agents by 2028 — cutting manual workloads by up to 50%. - The Problem: Complexity + Risk
Most organizations struggle with unclear use cases, lack of governance, and integration challenges—leading to stalled AI initiatives or poor ROI.
Get the report
Watch now
Recent Reports
2025 Gartner® Hype Cycle™ for Healthcare Payers
Leveraging AI to Enhance Customer Experience in Highly Regulated Industries
Innovation Insight: No-Code Agent Builders Improve Efficiency for U.S. Healthcare Payers, 2026, Connie Salgy, Austynn Eubank, Amanda Dall'Occhio, 17 March 2026.
GARTNER is a registered trademark and service mark of Gartner, Inc. and/or its affiliates in the U.S. and internationally and is used herein with permission. All rights reserved.
Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research publications consist of the opinions of Gartner’s research organization and should not be construed as statements of fact. Gartner disclaims all warranties, expressed or implied, with respect to this research, including any warranties of merchantability or fitness for a particular purpose.
This graphic was published by Gartner, Inc. as part of a larger research document and should be evaluated in the context of the entire document. The Gartner document is available upon request from USHUR.