Gartner Research

Advance Healthcare Payer-Provider/Partner Alignment by Solving Provider Data Problems

Published: 21 March 2017

ID: G00321046

Analyst(s): Bryan Cole

Summary

The processes and IT systems that payers use to manage provider demographics and contract data are frustrating, inefficient and costly. To address pressing provider data management problems, healthcare payer CIOs should assemble new provider data systems using a CRM hub.

Table Of Contents

Analysis

  • Healthcare Payers' Provider Data Gaps Drag Down IT Effectiveness
  • Single-Purpose Provider Data Systems Cause Data Gaps and Contribute to Payer Inefficiency
  • CIOs Can Address Immediate Provider Data Needs While Laying the Foundation for Provider/Partner Alignment
  • Use Provider Data Gaps to Underscore the Business Case for Organizational Change
  • Create a Migration Plan to Tie Business Capabilities, IT Budget and Project Prioritization to the Provider/Partner Alignment Vision
  • Assemble Provider/Partner Alignment for IT Systems by Integrating Provider Network Management With CRM

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