Gartner Research

Market Guide for U.S. Healthcare Payers’ Provider Network Management Applications

Published: 09 September 2019

ID: G00433893

Analyst(s): Bryan Cole

Summary

PNM optimization is key to U.S. healthcare payers’ success in value-based payment arrangements. Payer CIOs can use this Market Guide to select data management tools and the right applications to efficiently contract, credential and communicate with providers.

Table Of Contents

Market Definition

  • Effective and Efficient PNM Delivers Health Value to Members
  • Market Description
    • PNM Is a Broad Space, With Many Vendor Categories Affecting Payers’ Operations and Providers’ Experiences

Market Direction

  • Conventional PNM Is Evolving Into Holistic Provider/Partner Alignment

Market Analysis

  • The PNM Market Is Changing Quickly
  • Market Evolution and Payers’ PNM Maturity Will Accelerate

Representative Vendors

  • Market Introduction

Market Recommendations

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