Enterprises have made digital adoption the bedrock of their growth strategies in recent years to optimize processes, reduce costs, and deliver better customer experience, all in the pursuit of higher revenue growth and better operational efficiencies. The healthcare payer industry is no exception. Modernizing legacy systems is the need of the hour for healthcare payers and requires immediate attention, with evolving market needs and upcoming regulatory changes.
Available point solution vendors are stepping up their game to provide best-of-breed capabilities to payers. Although point solutions are cost-effective, having disparate plug-and-play point solutions results in high cost of ownership and complex and fragmented payer technology ecosystems. Hence, to implement enterprise-wide operational and business transformation, payers are taking a platform-led approach.
This report examines the current state of healthcare payers and emphasizes the need for modernization. It focuses on how core administration platforms provide the right push and support in driving payers' modernization initiatives.
Scope
Geography: global (with focus on the US)
Industry: healthcare payer
Services: healthcare payer solutions
Contents
The report focuses on the following topics:
State of payers
Platform-led modernization approach for healthcare payer
On January 6, 2021, UnitedHealth Group’s Optum acquired Tennessee-based healthcare technology company Change Healthcare for roughly US$13 billion (including about US$5 billion debt). Upon the deal’s completion in H2 2021, Change Healthcare will becom…
