Published: 23 March 2022
Summary
U.S. healthcare payers continue to invest in care delivery assets, but many struggle to meaningfully lower total care cost or improve member experience. CIOs can use the following engagement model to help create compelling consumer offerings and get the most from their care delivery investments.
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Overview
Key Findings
U.S. healthcare payers have been acquiring, launching and affiliating with providers in an attempt to control total costs of care. Most payers, however, are on a steep learning curve in care delivery and have yet to realize significant financial and member experience gains from their investments.
The alignment of financial incentives between payers and providers is a necessary step, but not sufficient on its own to lower total costs of care. Payer executive leaders must reinvent the basics of care delivery business processes and workflows to create lasting value for their organizations and members.
Recommendations
As a U.S. healthcare payer CIO
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Analysts:
Healthcare and Life Sciences Research Team