Gartner Research

California's New Provider Directory Mandates Will Drive Industrywide Healthcare Payer Change

Published: 09 May 2016

ID: G00304197

Analyst(s): Robert H. Booz

Summary

California's Bill 137, requiring timely, accurate and accessible healthcare provider information, will influence payers well beyond the state. Healthcare payer CIOs must implement enabling technologies to meet market and regulatory demands.

Table Of Contents
  • Impacts

Analysis

Impacts and Recommendations

  • New provider directory requirements will expose healthcare payers to increased administrative complexity and compliance risk
  • Frequent updates to provider directories will make tracking and responding to changing provider information a mission-critical concern for healthcare payers
  • Regulatory and business requirements will drive healthcare payer CIOs to seek centralized provider-directory-ready repositories

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