Gartner Research

MACRA's Downstream Effects Change Healthcare Payer CIO Spending Priorities

Published: 17 November 2016

ID: G00310628

Analyst(s): Bryan Cole


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


  • 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

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