The State of Payer-

Provider Collaboration

The Availity Abrasion Index 2026 quantifies where workflows breakdown across eligibility, prior authorization, claims, and denials, and what those failures are costing health plans and providers.

Based on research across payer and provider organizations

What you’ll find in the report

A clear, data-backed view of where payer-provider workflows breakdown and how those issues create downstream cost, delay, and rework.

Where abrasion is highest across key workflows

Where payers and providers align—and where they don’t

How breakdowns create downstream impact

Practical insights to reduce administrative burden

Breakdowns across healthcare workflows

Breakdowns Across Healthcare Workflows

Providers report denials as a major source of strain

Prior authorization delays impact care and workflow

Payers report high abrasion in eligibility

Built from payer and provider perspectives, the Abrasion Index shows where workflows align, where they breakdown, and what drives those issues.

Reduce administrative burden across payer-provider workflows

See where workflows breakdown across eligibility, prior authorization, claims, and denials

and how those issues create downstream cost, delay, and rework.

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Availity is the trusted partner for organizations seeking to realize the greatest value from clinical, administrative, and financial data. Positioned at the nexus of provider, health plan, and consumer health information, Availity develops scalable, innovative solutions for healthcare data acquisition, standardization, transparency, automation, and exchange among health plans, providers, and technology partners. As one of the nation's largest health information networks, Availity facilitates billions of clinical, administrative, and financial transactions annually. Our suite of dynamic products, built on a powerful, intelligent platform, enables real-time collaboration for success in a competitive, value-based care environment.