Eight Drivers for Payer Interoperability Implementation, Now!
This IDC Perspective discusses the drivers that will impact that deficient communications infrastructure on which the COVID-19 event rested upon. This pandemic event and concurrent regulation have finally driven payers to the realization, if they were not there already, that they may no longer sit alone. They must be part of the solution around unifying the fragmented health system or resign themselves to irrelevance. COVID-19 did not cause the interoperability need; it was always there. This pandemic emergency now explicitly gives motivation to those payers that have preferred to react instead of executing this digital transformation in a proactive way — by the way, they have to legally!"We should have had standard data models and interoperable standards a decade ago," says Jeff Rivkin, research director of Payer IT Strategies at IDC Health Insights. "The only way we can start approaching transparent cost and higher quality of healthcare is if we have a way to share knowledge through shareable data. That sharing can only happen if we have interoperability at a platform level. For payers, being part of that interoperable data ecosystem is now a binary survival variable. If they are in, they matter. If not, they do not matter, and they will perish."
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