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U.S. Payer Health IT 2015 Top 10 Predictions

U.S. Payer Health IT 2015 Top 10 Predictions

This IDC Health Insights report discusses the top 10 predictions and key industry trends payers need to consider for 2015 and beyond. A post-health reform environment has brought many business and IT-related challenges for payer organizations, yet also brings key areas of opportunity for prepared payer organization leaders.

"Payers are particularly challenged in 2015 to select and implement new processes and related analytical tools to better assess their operational performance and overall effectiveness and understand their multifaceted consumer populations," stated Deanne Primozic Kasim, research director, Payer Health IT Strategies, IDC Health Insights. "These 10 prediction areas provide a road map for payer decision makers to assess their related operational and technology areas and prepare their strategies and resources to leverage changing market conditions and create new opportunities."

Please Note: Extended description available upon request.

In This Study
Situation Overview
New Focus on Consumers
Cost and Quality Management Under the ACA
Mobile, Remote Technology, and the 3rd Platform
Future Outlook
Prediction #1. Payers Will Adopt More of an Omni-Channel Understanding and Delivery Model for Reaching Out to and Engaging with Consumers in 2015 and Beyond
Prediction #2. In 2015, Payers Will Form More Mutually Beneficial Relationships and Partnerships with Providers That Support Value-Based Reimbursement (VBR), Global Payments, and Pay for Performance (P4P) Reimbursement Models
Prediction #3. In 2015, More Payers Will Implement Private Cloud Solutions, Including Those Featuring Software-as-a-Service (SaaS) Models, to Better Manage Data Collection, Aggregation, and Analytical Efforts
Prediction #4. In 2015, More Payers (and Other Healthcare Organizations) Will Experience Cyberattacks, Requiring Payers to Invest in a Multipronged Security Strategy and Related IT Investments
Prediction #5. Challenged by the Increasing Magnitude of Clinical, Analytical, and Financial Data, More Payers in 2015 Will Need to Look at New Investments in Data Management and Warehousing Strategies and Related Solutions and Services
Prediction #6. In 2015, More Payers, Particularly Larger Organizations, Will Consider IT Solutions Provided Through Outsourced Services, Including Business Process Outsourcing (BPO)
Prediction #7. In 2015, More Payers Will Participate in the Government-Funded Lines of Business (LOBs) Including Medicare Advantage, Medicaid, and Dual Eligibles, Resulting in Greater Demand for Related, Specialized IT Solutions and Support Services
Prediction #8. In 2015 and Beyond, Payers Will Continue to Adopt More of a Population Health Management Approach to Care and Disease Management Programs, and Select IT Vendors Will Begin to Realize Market Leadership in This Area
Prediction #9. In 2015, More Payers Will Assess and Begin to Develop Non-Insurance LOB, Including the Development of and/or Investment in Innovative Health IT Solutions Addressing Evolving Areas Such as Consumer Communications and Private HIX Support
Prediction #10. Throughout 2015 Payers Will Increase Their Assessment and Development of Private Health Insurance Exchange Solutions
Essential Guidance
Learn More
Planned Primary Research for 2015
Related Research
Table: IDC Health Insights 2015 Payer Health IT Research Agenda

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