Gartner Research

4 Commitments U.S. Healthcare Payer CIOs Must Demand From Vendors to Drive Regulatory Compliance

Published: 26 July 2018

ID: G00363533

Analyst(s): Bryan Cole

Summary

Medicare Advantage, managed Medicaid and commercial payer CIOs have been burned by IT vendor arrangements that do not keep up with changing compliance requirements. Negotiate these four vendor contract commitments to protect your organization from the effects of legislative and regulatory changes.

Table Of Contents

Analysis

  • Regulatory Updates to Vendor IT Applications Often Overpromise and Underdeliver
  • Demand More Responsive and Insightful Regulatory Updates From Payer Industry Vendors
  • Negotiate These Four Commitments
    • Commitment 1: Maintain Deep Knowledge
    • Commitment 2: Accept Your Organization's Interpretations
    • Commitment 3: Include No-Fee Updates
    • Commitment 4: Be Accountable

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