Gartner Research

Healthcare Payer CIOs Follow Four Steps to Implement Next-Generation Provider Network Management IT Systems

Published: 26 July 2017

ID: G00331682

Analyst(s): Bryan Cole

Summary

Provider/partner alignment, Gartner's strategy for revitalizing payers' relationships with providers, is essential to realizing the full potential of value-based payments. Payer CIOs should rationalize their provider network management and data application portfolios using these four steps.

Table Of Contents
  • Key Challenges

Introduction

Analysis

  • Step 1: Replace or Rationalize Contracting, Credentialing and Provider Data Loading IT Systems
  • Step 2: Implement a Provider-Focused CRM
  • Step 3: Integrate CRM With Functional Applications
  • Step 4: Remove Weak Links Remaining in the Provider Data Chain

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