Gartner Research

Adopt Value-Based Payment Reconciliation Systems Soon to Meet Expanding Healthcare Payer Needs

Published: 19 September 2018

ID: G00365991

Analyst(s): Bryan Cole

Summary

U.S. healthcare payers are expanding value-based provider payments, but the IT applications and manual processes used to handle those payments are inefficient and ineffective. Payer CIOs must be early adopters of automated value-based provider payment reconciliation systems.

Table Of Contents
  • Key Challenges

Introduction

  • Payers’ Manual Processes Cannot Keep Up With the Expanding Demands of Value-Based Provider Contracts
  • Don’t Wait to Invest in Value-Based Payment Reconciliation Systems

Analysis

  • Use Administrative Pain Points to Develop Value-Based Payment Reconciliation System Purchase Requirements
  • Select a Value-Based Payment Reconciliation Vendor for Current and Future Functionality
  • Justify Investment in Value-Based Payment Reconciliation Systems

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