Gartner Research

MACRA's Downstream Effects Change Healthcare Payer CIO Spending Priorities

Published: 17 November 2016

ID: G00310628

Analyst(s): Bryan Cole

Summary

MACRA's shift to Medicare value payments will ripple into other business lines, forcing payers to assume a broader data aggregation role and consolidate care coordination technology. Healthcare payer CIOs must address MACRA head on by housing and acting upon clinical information.

Table Of Contents
  • Impacts

Analysis

  • Payers Will Adopt MACRA Reimbursement Schemes Beyond Medicare Fee for Service (FFS)

Impacts and Recommendations

  • MACRA deepens requirements to coordinate the care for populations served, driving healthcare payer CIOs to become information aggregators
  • Larger providers will leverage MACRA IT investments, making healthcare payer CIOs accommodate provider formats and processes
  • MACRA extends value-based payments, forcing healthcare payer CIOs to consolidate care improvement technologies

Gartner Recommended Reading

©2020 Gartner, Inc. and/or its affiliates. All rights reserved. Gartner is a registered trademark of Gartner, Inc. and its affiliates. This publication may not be reproduced or distributed in any form without Gartner’s prior written permission. It consists of the opinions of Gartner’s research organization, which should not be construed as statements of fact. While the information contained in this publication has been obtained from sources believed to be reliable, Gartner disclaims all warranties as to the accuracy, completeness or adequacy of such information. Although Gartner research may address legal and financial issues, Gartner does not provide legal or investment advice and its research should not be construed or used as such. Your access and use of this publication are governed by Gartner’s Usage Policy. Gartner prides itself on its reputation for independence and objectivity. Its research is produced independently by its research organization without input or influence from any third party. For further information, see Guiding Principles on Independence and Objectivity.

Already have a Gartner Account?

Become a client

Learn how to access this content as a Gartner client.