Gartner Research

The Current State of Medical Shopping Transparency Tools

Published: 29 June 2016

ID: G00305517

Analyst(s): Jeff Cribbs

Summary

Medical shopping transparency tools are insufficient to consumer needs and will be replaced by a new generation that is better connected to the consumer experience and will increase consumer adoption and deliver greater value. Healthcare payer CIOs must prepare for the transition now.

Table Of Contents
  • Impacts

Analysis

Impacts and Recommendations

  • Low usage of medical shopping transparency tools will drive payer CIOs and vendors to integrate other transactional components of the consumer experience of navigating healthcare
  • The requirements of Generation 2 tools will drive leading payer CIOs to make significant investments in core payer systems and robust application interfaces, and will displace many current vendors
  • Uncertainty regarding the strategic importance of "owning" the medical shopping experience will drive payer, provider and third-party business leaders to delay exposing APIs for the elements required to enable a Generation 2 medical shopping experience
  • Medical shopping tools with an integrated consumer experience will enable leading payer CIOs to deliver new value streams to the payer business, such as open network provider bidding, increased utilization of telemedicine, reduced administrative expenses and a positive consumer association of technology with the payer brand

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