Gartner Research

Encounter Data Management Best Practices for U.S. Healthcare Payer CIOs

Published: 16 February 2017

ID: G00324391

Analyst(s): Bryan Cole

Summary

Encounter data management involves more than just sending claims data to a government agency. Getting it right is a critical business process, and getting it wrong is a major financial liability. Payer CIOs should elevate encounter data management to a leadership priority.

Table Of Contents
  • Key Challenges

Introduction

  • Encounter Data Is Fundamentally About Proving the Health and Cost Outcomes Payers Promise to Their Purchasers
  • Encounter Data's Growing Importance Underscores Underlying Purchaser Disappointment With Payer Cost Control

Analysis

  • Encounter Data Is Not Easy
  • CIOs Elevate and Centralize Encounter Data
  • Vendors Cannot Address Governance Gaps

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