Gartner Research

Hype Cycle for U.S. Healthcare Payers, 2019

Published: 18 July 2019

ID: G00369514

Analyst(s): Mandi Bishop , Jeff Cribbs , Bryan Cole


This Hype Cycle provides critical input for strategic planning by tracking the maturity levels and adoption rates of emerging payer technologies and approaches. U.S. healthcare payer CIOs should use this research to plan their investments to optimize and transform.

Table Of Contents


  • What You Need to Know
  • The Hype Cycle
  • The Priority Matrix
  • Off the Hype Cycle
  • On the Rise
    • Provider/Partner Engagement Hubs
    • Value-Based Payment Reconciliation Systems
    • Health Value Product Design
    • Precision Health
    • Health Data Curation and Enrichment Hub
    • Integrated Member Retail Experiences
    • Health Value in Virtual Care
    • Intelligent Automation for Healthcare Payers
    • Advanced Analytics in Provider/Partner Alignment
    • Member Health-Value From IoT
    • Provider/Partner Network Management Platforms
  • At the Peak
    • BPaaS for Healthcare Payers
    • Digital Concierge Consumer Engagement Services
    • Product Configurators
    • Blockchain in Healthcare
    • API Management
    • Prospective Payment Integrity Solutions
    • Healthcare Consumer Engagement Hub
    • Robotic Process Automation for Healthcare Payers
    • Consumer Journey Analytics in Healthcare
    • Community Resource Network Management
    • Generation 2 Medical Shopping
    • Healthcare Consumer Insight as a Service
    • Modern Healthcare Analytics Architecture for Payers
  • Sliding Into the Trough
    • Genomics Medicine
    • Clinical Data Integration
    • AI for Healthcare Payers
    • Cloud for Healthcare Payers
    • Next-Generation Core Administrative Processing Solutions
    • Retail Analytics for Healthcare Payers
    • Health Value From Self-Service Mobile Apps
  • Entering the Plateau
    • Accountable Care Organization
  • Appendixes
    • Hype Cycle Phases, Benefit Ratings and Maturity Levels

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