Gartner Research

Business Drivers of Technology Decisions for Healthcare Payers, 2016

Published: 18 January 2016

ID: G00291979

Analyst(s): Robert H. Booz, Constance Sjoquist, Steven Lefebure, Jeff Cribbs


The 2016 payer business drivers describe a complex and experimental market that requires business and technology leaders to rapidly make IT investment priorities that are more consumer-oriented, efficient, analytically sophisticated and positioned to thrive in government-sponsored business.

Table Of Contents


  • Introduction
  • Industry Trends Reflect Direction, While Industry Drivers Motivate and Cause Change
  • Detailed Business Drivers and Implications
    • Driver No. 1: The Emerging Power of the Healthcare Consumer
    • Driver No. 2: The Growing Complexity of Payer Profitability
    • Driver No. 3: The Evolution of Government Into Obligatory Business Partner
    • Driver No. 4: The Existential Threats of Healthcare Realignment
  • These Business Drivers Compel Payer Leadership to Focus on Specific Business Priorities
  • IT Recommendations

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