Hype Cycle for Healthcare Payers, 2009

ID Number: G00168566

30 July 2009

Joanne Galimi Robert H. Booz Maureen O'Neil Mark A. Beyer Daniel Sholler

The current economic climate is driving change for insurers. Consequently, innovation must be a top agenda item for both IT and the business. This Hype Cycle highlights the state of adoption for technologies that should be used in defining strategies that seek to run, grow or transform the business.

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Table of Contents

Analysis

What You Need to Know

The Hype Cycle

The Priority Matrix

Off the Hype Cycle

On the Rise

		Business Process Utility Outsourcing
		Patient-Centered Medical Home
		Online Care
		BPO for Market-Differentiating Functions
		IT GRCM Tools
		Video as a Service
		New Healthcare Core Administrative Systems
		CRM Analytics
		Healthcare Insurance Member Portals 2.0
		Entity Resolution and Analysis

At the Peak

		BPM Suites
		Payer-Provider Collaboration Tools
		Care Management Analytics
		Marketing Applications
		Health Insurer Personal Health Management Tools

Sliding Into the Trough

		Electronic Bill Presentment and Payment
		Health and Wellness Solutions
		Health Insurer Personal Health Records
		Care Management Workflow Applications
		ICD-10 Adoption Technology
		Predictive Modeling: Underwriting
		Real-Time Claims Adjudication
		Health Insurer E-Visits
		NA Healthcare Insurance BPO

Climbing the Slope

		Sales Applications
		Health Insurer E-Prescribing
		Fraud Detection Software
		Product Configurators
		Customer Service and Support Applications
		Predictive Modeling: Care Management
		Business Rule Engines
		Healthcare Business Intelligence Applications

Off the Hype Cycle

		Debit Cards for Healthcare Insurers
		National Provider Identifier Conversion Applications

Appendixes

Hype Cycle Phases, Benefit Ratings and Maturity Levels

Recommended Reading

List of Tables

	Table 1.	Hype Cycle Phases

	Table 2.	Benefit Ratings

	Table 3.	Maturity Levels

List of Figures

	Figure 1.	Hype Cycle for Healthcare Payers, 2009

	Figure 2.	Priority Matrix for Healthcare Payers, 2009

	Figure 3.	Hype Cycle for Healthcare Payers, 2008

Hype Cycle for Healthcare Payers, 2009
30 July 2009

Hype Cycle for Healthcare Payers, 2008
27 June 2008

Hype Cycle for Healthcare Payers, 2007
29 June 2007

Emerging Technologies
Healthcare Payer Systems

© 2009 Gartner, Inc. and/or its Affiliates. All Rights Reserved. Reproduction and distribution of this publication in any form without prior written permission is forbidden. The information contained herein has been obtained from sources believed to be reliable. Gartner disclaims all warranties as to the accuracy, completeness or adequacy of such information. Although Gartner's research may discuss legal issues related to the information technology business, Gartner does not provide legal advice or services and its research should not be construed or used as such. Gartner shall have no liability for errors, omissions or inadequacies in the information contained herein or for interpretations thereof. The opinions expressed herein are subject to change without notice.

Resource Id: 1104112