Gartner Research

Legislative Inaction Means Healthcare Payer CIOs Must Prepare for More State Variation in Individual and Managed Medicaid Markets

Published: 13 November 2017

ID: G00342424

Analyst(s): Bryan Cole

Summary

Impatient for federal legislative action, U.S. states are pursuing Medicaid and Affordable Care Act waivers to achieve their access and savings goals. Payer CIOs must invest in new IT capabilities now to satisfy customers under growing program variations.

Table Of Contents

Analysis

  • State Attempts to Bend ACA and Medicaid Rules Create Work for Payer CIOs
  • ACA Exchange Individual: CIOs Should Be Cautious When Updating IT Systems Amid State-Driven Business Uncertainty
  • Managed Medicaid: CIOs Must Adjust to Squeezed Payer IT Budgets Under Tightened State Medicaid Eligibility Rules

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