The pandemic has led to sweeping changes in who receives care, how they access it, and how healthcare organizations (healthcare providers, payers, and community resources) come together to meet the complex and accelerated demand for care, while dealing with provider burnout, customer distrust, and financial turmoil. Healthcare payers have faced critical challenges such as disruption of member service operations and administrative inefficiencies around provider network management/coordination, member communication, and claims management.
This report evaluates payer performance in H2 2020 and focuses on industry- and account-level financial and LoB performance, key business and IT investment themes, and the Global Business Services (GBS) landscape.
Scope
Industry: healthcare payer
Geography: US
Contents
This report provides:
Payer industry overview: financials, membership by LoB, business themes, and IT themes, GIC landscape
Account-specific insights: financials, membership by LoB, and account-specific themes
A majority of the healthcare providers in the United States suffered financial decline in 2017. Shift towards value-based care system is one of the key factors affecting health of hospitals; however, health networks' pain points vary widely, from a…
