Gartner Research

Healthcare Payer CIOs Must Adopt Digital Business Platforms to Create and Orchestrate Health Value

Published: 08 August 2018

ID: G00351305

Analyst(s): Jeff Cribbs , Bryan Cole , Mark E. Gilbert , Mandi Bishop

Summary

Today’s healthcare payer architecture, centered on the core administrative processing system, will not meet the demands of digital business or support the value orchestration role customers require. CIOs must adopt digital business platforms to create and orchestrate health value for members.

Table Of Contents

Analysis

  • Payers Must Adopt Digital Business Platforms to Compete in a Digital Business World
  • Digital Business Platform Architecture Introduction
  • Shift From Legacy IT to Platform Architecture to Create and Orchestrate Health Value
  • Real-Time, Automated Prior Authorizations Exemplify How Platforms Create and Orchestrate Health Value
  • Health-Value Management: An Orchestration Platform Business Model
  • Recommendations
    • Educate Executive Leadership on the Strategic and Operational Value of Platforms
    • Develop a Platform Vision
    • Plan to Re-engineer IT Architecture to Support Platforms
    • Establish Guiding Principles for the Long Platform Journey

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