Gartner Research

Top Pain Points and Solutions for U.S. Healthcare Payer CIOs in Provider Network Management

Published: 02 March 2018

ID: G00351243

Analyst(s): Bryan Cole

Summary

Value-based care is forcing payer CIOs to rethink provider network management. CIOs must do more than replace aging provider contracting, credentialing and data loading IT systems. CIOs must instead implement end-to-end solutions for improved provider/partner alignment.

Table Of Contents

Analysis

  • We're Looking to Replace Our Provider Credentialing System; Are There Alternatives?
  • Producing Provider Directories Is a Painful Process — Can It Be Automated?
  • Who Can Help Validate Provider Demographic Data?
  • Our Provider Portal Vendor Contract Is Coming Up for Renewal; Are There Better Options Now in the Marketplace?
  • Some Years Ago, We Implemented a Massive Provider Data System That Still Isn't Meeting Our Needs; What Do We Do With It Now?

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