Gartner Research

U.S. Healthcare Payers Must Integrate Consumer-Directed Account Administration

Published: 18 July 2017

ID: G00331681

Analyst(s): Bryan Cole

Summary

U.S. policymakers have put health savings accounts and other member accounts (such as HRAs and Medicare MSAs) at the forefront of healthcare reform efforts. Healthcare payer CIOs must integrate member- and provider-facing IT applications with member accounts to achieve cost and quality gains.

Table Of Contents

Analysis

  • Consumer-Directed Accounts Operate in the Broader Context of Rising Costs and High Consumer Frustration
  • Member Confusion Blunts Consumer-Directed Account Potential
  • Consumer Accounts Will Continue to Expand
  • Payer CIOs Must Integrate Consumer-Directed Account Administration
  • Key Findings
    • Integrate Account Administration With Claims Processing, Member Decision Support and Online Consumer Tools
    • Progress Through Consumer Account Integration Stages
    • Partner With an Account Vendor That Supports Integration Progression
    • Prepare for the Inevitable Blurring of Healthcare With Financial Services

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