Clinical Evidence AI for Payers

Make faster, more defensible decisions with trusted clinical evidence

Access the trusted evidence, expert analysis, and Hayes Ratings payer teams rely on to evaluate medical technologies, support policy development, and improve decision consistency.

The Hayes Knowledge Center gives clinical and policy teams access to rigorous evidence reviews, continuously updated research, and transparent methodologies designed to support accurate, evidence-based decisions across coverage policy, utilization management, and appeals.

Why evidence-based decision-making is becoming more difficult for payers

Payer teams are under increasing pressure to make fast, accurate, and defensible decisions in a rapidly evolving clinical landscape. But the volume of available research continues to grow—and not all evidence is reliable, current, or easy to apply consistently.

Teams are often forced to navigate fragmented sources, conflicting studies, and outdated information while balancing clinical quality, policy consistency, and financial risk.

This can lead to:

  • Inconsistent or difficult-to-defend coverage policies
  • Increased appeals and administrative burden
  • Delays in utilization management decisions
  • Exposure to unnecessary or low-value care spend

The Hayes Knowledge Center helps organizations cut through complexity with trusted evidence reviews, Hayes Ratings, and expert analysis that support more confident and consistent decision-making.

Turn trusted clinical evidence into actionable insight

The Hayes Knowledge Center helps payer teams quickly evaluate complex clinical evidence with trusted research reviews, transparent methodologies, and expert analysis designed for real-world policy and coverage decisions.

With continuously updated evidence, Hayes Ratings, and source-linked transparency, teams can:

  • Evaluate emerging technologies with greater confidence
  • Reduce time spent reviewing fragmented research
  • Support more consistent and defensible decisions
  • Improve efficiency across policy and utilization workflows

symplrAI enhances access to this trusted evidence by helping teams quickly surface and summarize relevant insights—while keeping the focus on verified Hayes content and source transparency.

Reduce uncertainty, risk, and manual effort in evidence-based decision-making

Ground decisions in trusted clinical evidence

Evaluate medical technologies and treatments using rigorous evidence reviews, expert analysis, and Hayes Ratings designed to support confident policy decisions.

Improve consistency across coverage decisions

Access clinical evidence, payer policy insights, and treatment considerations in one place to support more aligned and defensible decision-making.

Stay current as evidence evolves

Monitor continuously updated research, emerging technologies, and evolving evidence standards so teams can make decisions based on the latest available information.

What makes Evidence Analysis different

Breadth, depth, & context

Access a comprehensive library of clinical evidence, guidelines, payer policies, and competitive alternatives—giving you a complete view for every decision.

Timely content & custom support

Stay ahead with continuously updated reports and rapid-turnaround custom research from a dedicated team of clinical experts.

Stay current

Keep pace with evolving evidence, guidelines, and policy changes with regularly updated reviews and insights.

Master new medical codes

Simplify code evaluation and policy alignment with searchable, defensible documentation backed by Hayes research.

Trusted by payer teams making high-stakes clinical decisions

I have been using the Hayes research product for almost 9 years and I cannot imagine doing my job without them. The research briefs, reports, updates, are consistently helpful and timely. Their research is solid, and the staff is always available to answer any questions I may have. When my company needs customized research reports, I know I can count on the Hayes team to produce evidence analysis reports that will guide me in making decisions on if/how we produce policies.

— Philip Bernstein, MA, Mass General Bringham Health Plan