Gartner Research

U.S. Healthcare Payer CIOs Must Pursue Next-Generation Core Administrative Processing Solutions

Published: 04 July 2018

ID: G00352282

Analyst(s): Mandi Bishop

Summary

Legacy core administrative processing solutions cannot meet healthcare payer demands for a modern range of delivery models, implementation options, payment arrangements and IT system integrations. CIOs must use this research to advance their organizations to next-generation CAPS capabilities.

Table Of Contents
  • Key Challenges

Introduction

  • Legacy CAPS Obstructs Payer Transformation
    • Three Archetypes of Legacy CAPS

Analysis

  • Identify Capability and Workflow Gaps of Current CAPS
  • Develop Next-Generation CAPS Requirements

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