Gartner Research

The Current State of Clinical Data Integration Among U.S. Healthcare Payers

Published: 13 May 2019

ID: G00386489

Analyst(s): Mandi Bishop

Summary

U.S. healthcare payer CIOs face increasing market and regulatory pressures to implement clinical data integration as a critical capability — yet ROI remains elusive. To deliver business value at scale, CIOs must accelerate plans to adopt a comprehensive enterprisewide solution.

Table Of Contents

Analysis

  • Payer Urgency to Achieve CDI Is Increasing Even as Target Outcomes Remain Elusive
  • Major Phases of CDI Value Chain
    • Acquisition: Calculate Mutual Value to Overcome Cooperation Barriers With Providers
    • Normalization: Outsource to Overcome Limitations of Data Quality and Interoperability Standards
    • Integration: Connect the Last Mile of CDI to Realize Value
  • The Long Game for Clinical Data Integration for Payers

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