Gartner Research

U.S. Healthcare Payer CIOs Must Break Down Business Silos to Build Provider Network Management IT Systems

Published: 22 September 2017

ID: G00332795

Analyst(s): Bryan Cole

Summary

Provider network management business silos and organizational inertia impede payers' progress on value-based payments. U.S. healthcare payer CIOs must spark the transformation process by engaging business owners in PNM IT system consolidation.

Table Of Contents

Analysis

  • Payers' Current PNM Operating Model Is Broken
  • Address Internal Business Silos and Cultural Blocks to Achieve Provider/Partner Alignment
  • Convene Business Areas to Build Support for PNM IT System Consolidation
  • Tackle Inefficient Business Processes Using Shared Incentives
  • Seek Vendors That Service the Full Provider Relationship Life Cycle

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