Gartner Research

Five Disruptive Technologies That Can Propel or Derail Payer Administrative Modernization

Published: 20 April 2016

ID: G00302702

Analyst(s): Constance Sjoquist

Summary

Healthcare payer CIOs should use this information to understand the most disruptive — yet ultimately innovative and beneficial — technologies that can derail or propel administrative modernization initiatives.

Table Of Contents
  • Impacts

Analysis

  • Faster. Smarter. Cheaper.

Impacts and Recommendations

  • Healthcare payer CIOs who value the technology that combines the "information of everything" with smart machine algorithms to make algorithmic operations possible risk a conflict between potential operational efficiency and their traditional view of the use of IT resources
  • Autonomous agents and things that are interacting with, advising and assisting payers in the transformation to digital business may force healthcare payer CIOs to mitigate unintended effects on IT and operations
  • While APIs are exposing data and creating a more interconnected healthcare economy, healthcare payer CIOs may find they are putting system security at risk
  • The cloud lifts IT outside of payers' walls and further away from legacy, on-premises applications, forcing healthcare payer CIOs to deal with resistance from incumbent vendors
  • Healthcare payer CIOs wanting to take advantage of the "device mesh" that is fluidly and dynamically interconnected around individuals are hindered by those who are unwilling to provide the required personal health information

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