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U.S. Healthcare Payer 2009 Top 10 Predictions

Published by: IDC

Published: Jan. 15, 2009 - 20 Pages


Table of Contents


Table of Contents

Predictions

In This Report

Situation Overview

The Sleeping Giant of 2009: ICD-10

Future Outlook

Prediction #1: "Spreadsheets Are Back in Vogue," and Cost Management Will Top the Healthcare Payer Priority List

Drivers

Implications/Predictions

Prediction #2: Return on Investment Will Emerge as a Key Driver of Technology Investment and Selection

Drivers

Implications/Predictions

Prediction #3: Investment in Foundational Technologies Will Be Prioritized to Improve Return on Health 2.0 and Related Technologies Investment, Cleaning Up the Core

Drivers

Implications/Predictions

Prediction #4: Component/SOA Technology Strategies Will Move from Interesting Concepts to Early Adopter Strategies

Drivers

Implications/Predictions

Prediction #5: Provider Relationship Management Initiatives and Investments Will Be Prioritized over Consumer Initiatives

Drivers

Implications/Predictions

Prediction #6: Retail Microconsumerism Concepts Will Be Adopted into Healthcare Payer Strategies

Drivers

Implications/Predictions

Prediction #7: Business Intelligence Differentiation Will Focus on Driving Better Outcomes

Drivers

Implications/Predictions

Prediction #8: Care Management Will Focus on Holistic Strategies That Leverage the Physician-Patient Relationship as Precursor to the Medical Home Concept

Drivers

Implications/Predictions

Prediction #9: Health 2.0 Will Be Used to Engage Consumers and Create a Competitive Advantage

Drivers

Implications/Predictions

Prediction #10: The Medical Home Concept Pilots Will Emerge in 2009 But Will Evolve Slowly Due to Lack of Funding/Payment Methodologies and Requisite Technology Infrastructure

Drivers

Implications/Predictions

Essential Guidance

For Healthcare Payers

For Technology Vendors

Learn More

Related Research

Synopsis

Abstract

This Health Industry Insights report identifies the major trends in 2009 that will impact the healthcare payer current business and future market differentiation. The overarching theme for this year is how the combination of three factors will affect healthcare payer initiatives and IT spending: consumers' placement of healthcare costs at the top of their list of significant concerns, the economic crisis triggering the emergence of cost management and cost control at the top of healthcare payer market concerns, and healthcare reform as one of the top priorities of businesses and state and federal government initiatives. All constituents and challenges focus on technology as one of the key tools to better control and manage healthcare costs.

Healthcare payer technology investments will continue, but the three factors will likely change priorities, focus, selection, and deployment decisions. And, some newer technology and program decisions may ultimately be lower priorities while investments in the core technologies required for best return on investment are made.

"Healthcare payers are entering a challenging business environment, where business and technology investment is needed, and at the same time, cost management is a key priority. The most favorable technology solutions will improve the costs of technology acquisition and management; reduce corporate and program costs, and position the healthcare payer to make best use of extra-enterprise solutions to improve consumer and provider interactions," states analyst Janice Young, program manager, Health Industry Insights' Healthcare Payer research.



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