Gartner Research

Top Actions for Healthcare Payer CIOs, 2013: Ensure Core System Readiness for Postreform Era

Published: 24 January 2013

ID: G00247120

Analyst(s): Christina Lucero

Summary

Core system readiness evaluations need to be a top priority for healthcare payer CIOs to capitalize on the $33 billion growth opportunity associated with the U.S. individual insurance mandate. The October 2013 deadline leaves little time for payers to overhaul legacy systems or implement new ones.

Table Of Contents
  • Key Challenges

Introduction

Analysis

  • Evaluate Core Administrative System Readiness
    • Critical Functionality for Core Systems
    • A "Decision Tree" Aids Readiness Strategy
  • Revamp, Rebuild or Replace Legacy Systems
  • Invest in Tools to Enhance Core Administrative Capabilities

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