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Best Practices: Changing Payer and Provider Relationships — Processes and IT Tools in a Reformed, Collaborative Environment

IDC Health Insights Opinion
In This Study
Situation Overview
Business Needs
Management Challenges
The Best Practices
Bundled Payments
Payment Terms and Shared Risk
Selection of Quality Measures
Getting Employer and Purchaser Buy-In
Consumer/Patient Engagement
Future Outlook
Challenges Moving Forward
Essential Guidance
Actions to Consider
Learn More
Related Research
Synopsis

Best Practices: Changing Payer and Provider Relationships — Processes and IT Tools in a Reformed, Collaborative Environment

This report analyzes the market and IT dynamics affecting payers and providers in a post-health reform environment. Information for this report is compiled from vendor briefings, conference presentations, IDC Health Insights' research, and client and payer interviews. Secondary research for this report includes information from vendor and payer Web sites, related product Web sites, industry news articles, and publicly available product and company information.

This IDC Health Insights report enables payer and provider decision makers to understand the many business, regulatory, and IT issues that exist in a postreform environment in terms of thinking outside the box to develop collaborative relationships. Leaders in both payer and provider constituencies need to think about new, mutually beneficial environments to define a clear vision for consumer and patient care coordination and shared reimbursements.

"Today's healthcare industry demands out-of-the-box thinking and the establishment of new collaborative relationships between payers and providers that can create an environment to improve the effectiveness and efficiency of care delivery. This report examines the business, regulatory, and IT considerations payer leaders need to consider for approaching and negotiating with providers in terms of new reimbursement and care delivery models." — Deanne Primozic Kasim, research director, Payer Health IT Strategies

Please Note: Extended description available upon request.


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