Gartner Research

Top Actions for Healthcare Payer CIOs, 2013: Focus on ICD-10 Contingency to Avoid Membership Loss, Litigation and Complaints

Published: 19 February 2013

ID: G00249525

Analyst(s): Christina Lucero

Summary

Payer CIOs put their organizations at risk, without attention on ICD-10 contingency plans. A lack of preparedness could cost membership renewals, provider litigation and excessive complaints, tarnishing a payer organization's reputation.

Table Of Contents
  • Key Challenges

Introduction

  • Contingency Planning Now

Analysis

  • Put Together a Team Tasked With Contingency Planning.
    • Show Value and Create Empowerment
  • Engage Membership Management Leaders in the Contingency Planning Process to Properly Plan for Increased Member Grievance and Appeals for a Defined Period of Time After Go-Live
    • Identifying Gaps to Avoid Member and Financial Impact
  • Focus on Collaborative External Partner Engagement With a Common Approach to Testing, Go-Live and Ongoing Monitoring
    • After Go-Live

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