The Big Bang MACRA-economic Theory of Provider IT Transformation

17 Nov 2016
by Abhishek Singh, Jimit Arora, Nitish Mittal

The healthcare landscape has been subject to significant turbulence on account of a gamut of factors including escalating costs, widespread regulatory amendments, changing business models, and evolution of the patient-centric paradigm (with mobile computing, social media platforms, and “anytime-anywhere” information access). This combination of disruptive and legacy factors has driven healthcare firms to adopt new technologies, while also revamping their existing systems, processes, and interfaces.


As the technology mandate for healthcare enterprises evolves, so do their relationships with IT service providers. This, in turn, is driving the need for relevant research and market intelligence on demand and supply trends in healthcare outsourcing across the three major market segments – payer, provider, and life sciences. Everest Group’s healthcare outsourcing research program addresses this market requirement by analyzing outsourcing trends and service provider capabilities specific to ITO in the healthcare vertical.


The global healthcare (payer and provider combined) ITO market is expected to grow at 12% CAGR during 2014-2020, reaching US$68.3 billion in 2020. This will be fueled by factors such as regulatory requirements, payer-provider convergence, customer-centric care, and M&As/restructuring.


Factors impacting healthcare provider IT demand include multiple value chain (core functions) and horizontal elements (enabler functions), which have subthemes that directly align with the technology imperatives. Service provider organizations looking at succeeding in this market need to focus on building expertise in key service lines, developing/acquiring talent & skills demanded by provider, and aligning themselves with the evolving vendor engagement models.


In this annual report, we analyze the current trends and future outlook of large, multi-year ITO relationships in the provider market. The report also provides specific insights into enabling a go-to-market strategy for healthcare IT.


This report is structured across three key sections, covering market dynamics, current state of the market, and the future state of the provider IT industry.

  • Provider IT market: Changing market dynamics
  • Provider IT market: The current state
    • Healthcare market: Size and growth
    • Segment analysis: Service lines
    • Segment analysis: Enterprise size
    • Scope of provider IT transactions
  • MACRA-economics: The future state of the provider IT industry
    • MACRA reform rules: Key implications
    • Provider IT: Key demand trends fueling technology spending
    • Imperative #1: Performance improvement and cost takeout
    • Imperative #2: Patient engagement
    • Imperative #3: Data security
    • Imperative #4: Electronic health records

Membership(s)

Healthcare & Life Sciences IT Outsourcing

 

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