Healthcare payers are being buffeted by a variety of changes, from increasing consumerism, to a rising use of digital technologies, declining margins to growing distrust, and continuing regulatory uncertainty. These changes require payers to rethink their business models. At the same time, the broader healthcare & life sciences market is undergoing tectonic shifts, which also have implications for payers in the future, including rapid health system convergence, a rise in outcome-based model experimentation, market participants venturing into convergence-led models, a redefined payer-PBM relationship, a focus on data flow, extensive, and the entry of technology companies in healthcare space.
Amid these changes, payers also need to evaluate their shifting roles and take steps to become future ready.
In this report, we define the key payer characteristics that will be impacted by this change in for main areas:
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