Gartner Research

Healthcare Payer CIOs Must Prepare ICD-10 Contingency Plans

Published: 05 March 2015

ID: G00273915

Analyst(s): Constance Sjoquist


Given an extra year to prepare, payers may feel confident in their ability to support ICD-10. However, as the deadline approaches, CIOs should revisit their state of readiness and prepare contingency plans for less obvious, yet potentially disruptive, impacts of ICD-10.

Table Of Contents
  • Impacts


Impacts and Recommendations

  • With less than 50% of providers ready for ICD-10, payer CIOs need to do extensive testing to avoid business disruption even if their own organizations are ready
  • Speculation on further delay or rule changes to ICD-10 remains, so payer CIOs need to plan "what if" scenarios to manage accordingly
  • A portion of providers will not be ready for ICD-10, creating a window of revenue flow and compliance risks that payer CIOs need to prepare their organizations to address

Gartner Recommended Reading

©2021 Gartner, Inc. and/or its affiliates. All rights reserved. Gartner is a registered trademark of Gartner, Inc. and its affiliates. This publication may not be reproduced or distributed in any form without Gartner’s prior written permission. It consists of the opinions of Gartner’s research organization, which should not be construed as statements of fact. While the information contained in this publication 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 research may address legal and financial issues, Gartner does not provide legal or investment advice and its research should not be construed or used as such. Your access and use of this publication are governed by Gartner’s Usage Policy. Gartner prides itself on its reputation for independence and objectivity. Its research is produced independently by its research organization without input or influence from any third party. For further information, see Guiding Principles on Independence and Objectivity.

Already have a Gartner Account?

Become a client

Learn how to access this content as a Gartner client.