Gartner Research

U.S. Healthcare Payers Underutilize Virtual Care in Medicare Advantage and Managed Medicaid

Published: 08 June 2018

ID: G00348933

Analyst(s): Bryan Cole

Summary

Virtual care is expanding, with many healthcare organizations moving from pilot programs to mainstream service offerings. U.S. healthcare payers, however, still underutilize it in Medicare Advantage and managed Medicaid populations. CIOs can use this research to address program needs.

Table Of Contents
  • Impacts

Analysis

  • Virtual Care's Rise Creates Opportunity for U.S. Healthcare Payers to Expand Use in Medicare Advantage and Managed Medicaid
  • Virtual Care's ROI Barriers in Medicare Advantage and Managed Medicaid

Impacts and Recommendations

  • Virtual Care's Adoption Will Quicken, Forcing CIOs to Assess, Integrate and Extend New Technologies
  • Virtual Care Supports Broad Population Health Efforts, Pushing CIOs to Re-evaluate Care Management IT Applications
  • Virtual Care Eases Member Follow-Up Interactions With Providers, Letting CIOs Increase the Effectiveness of Coding Interventions
  • Virtual Care Extends Providers' Reach, Allowing CIOs to Better Meet the Expectations of Both Members and Regulators

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