Gartner Research

Hype Cycle for U.S. Healthcare Payers, 2020

Published: 05 August 2020

ID: G00444809

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
    • Digital Healthcare Payer Platform
    • Provider/Partner Engagement Hubs
    • Health Value Product Design
    • Intelligent Automation for Healthcare Payers
    • Precision Health
    • Value-Based Payment Reconciliation Systems
    • Integrated Member Retail Experiences
    • Advanced Analytics in Provider/Partner Alignment
    • Health Data Curation and Enrichment
  • At the Peak
    • Provider/Partner Network Management Platforms
    • Health Value From IoT
    • Health Value in Virtual Care
    • Prospective Payment Integrity Solutions
    • API Management in Healthcare Payers
    • BPaaS for Healthcare Payers
    • Digital Concierge Consumer Engagement Services
    • Robotic Process Automation for Healthcare Payers
    • Blockchain in Healthcare
    • Community Resource Network Management
    • Consumer Journey Analytics in Healthcare
    • Healthcare Consumer Engagement Hub
  • Sliding Into the Trough
    • Digital Healthcare Analytics Architecture for Payers
    • Clinical Data Integration
    • Generation 2 Medical Shopping
    • Cloud for Healthcare Payers
    • AI Strategy for Healthcare Payers
    • Healthcare Consumer Insight as a Service
    • Next-Generation Core Administrative Processing Solutions
  • Appendixes
    • Hype Cycle Phases, Benefit Ratings and Maturity Levels

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