Gartner Research

Market Guide for U.S. Healthcare Payer Private Exchange Technology

Published: 11 April 2016

ID: G00293401

Analyst(s): Constance Sjoquist


This Market Guide will help healthcare payer CIOs understand the changes occurring in private exchange technology and how these advances can enable them to modernize their channel distribution systems to streamline operations and improve the customer enrollment experience.

Table Of Contents

Market Definition

Market Direction

  • The Expansion of ACA Membership
  • The Optimization of Payer Administrative Systems
  • The Consumerization of Healthcare
  • Market Consolidation
  • Characteristics of Private Exchange Technology Vendors Gaining Momentum
  • Areas Where Vendors Need to Expand Their Value to Payers

Market Analysis

  • Gartner 2016 Survey of Private Exchange Technology Vendors
  • Expertise in State and Federal Health Insurance Exchange Interoperability
  • Expertise in Group (Employer) Distribution
  • Driving Toward a Comprehensive Digital Distribution Solution — Including a Provider Solution
  • Vendors Who Are Subsidiaries of Either Consulting or Payer Entities
  • How Vendors Charge for Their Solution

Representative Vendors

Market Recommendations

Gartner Recommended Reading

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