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IDC MaturityScape: Healthcare Payer BPO Relationship 1.0

IDC MaturityScape: Healthcare Payer BPO Relationship 1.0

This IDC study presents a framework that defines the maturity of a healthcare payer's BPO relationships in multiple dimensions (strategy, offerings, people, process, technology). Legal provisions such as guaranteed issue, in combination with technological change, have driven payers to reprioritize strategies and reevaluate their BPO relationships. Payers and their partners increasingly embrace vendor sourcing management office (VSMO) governance, achieve more limited sets of trusted relationships, and manage them according to business outcomes."Just as clinical outcomes are the measure of value-based care, business outcomes are becoming the measures of BPO relationships," says Sven Lohse, research manager, Healthcare IT Services Strategies. "This imperative increasingly drives not only contracts but also business relationships and the ways in which payers manage their portfolios of outsourcing partners."

Please Note: Extended description available upon request.


IDC MaturityScape Figure
IDC Opinion
In This Study
Situation Overview
Guaranteed Issue
Digital Transformation
Affected Stakeholders and Processes
Stages of IDC's Healthcare Payer BPO Relationship MaturityScape
Ad Hoc
>Description
>Business Outcome
Opportunistic
>Description
>Business Outcome
Repeatable
>Description
>Business Outcome
Managed
>Description
>Business Outcome
Optimized
>Description
>Business Outcome
Dimensions of IDC's healthcare payer bpo relationship Maturityscape
Essential Guidance
Why Should the Payer Assess Its Maturity and Make Changes?
Alignment Across Maturity Dimensions
Actions to Consider
Strategy Dimension
>Don't Just Look for Cost Savings — Strive for Trusted Relationships
Offerings Dimension
>Emphasis on Outcomes
People Dimension
>Managers Have as Much or More Impact on Maturity than Executives
Process Dimension
>Vendor Selection
Technology Dimension
>Build Firm Foundations for Implementation of Analytics
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Related Research
Synopsis

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