Gartner Research

How U.S. Healthcare Payers Can Optimize Costs by Choosing the Best Core Administration Vendors

Published: 06 October 2017

ID: G00340196

Analyst(s): Bryan Cole

Summary

Cost cutting and application portfolio rationalization are top of mind for Gartner healthcare payer CIOs. The insights gleaned from Gartner's most common core administration inquiries can help guide your member enrollment, claim payment and premium billing modernization efforts.

Table Of Contents

Analysis

  • How Much Are Other Payers Spending on Core Administration? Or IT Generally?
  • Are There Claims Systems Available in the Market With a Lower Total Cost of Ownership?
  • We Use Multiple Core Administration Systems Today — What Are Other Payers Doing to Consolidate and Cut Costs?
  • Should We Prioritize Replacing Our Homegrown E-Billing Application?
  • How Are Peer Organizations Processing Value-Based Provider Payments?

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