Gartner Research Report: Hype Cycle™ for U.S. Healthcare Payers, 2022

Gartner

Hype Cycle™ for U.S. Healthcare Payers, 2022

This Hype Cycle is geared to help CIOs lean into technological and business change. A key theme for 2022 is the composable enterprise architecture, which enables CIOs to flexibly reconfigure IT applications and meet new business requirements on demand.

Success will come from understanding the virtues of said emerging technologies and their combinatorial effect that deliver on organizations’ essential priorities.

Prospective Payment Integrity Solution Analysis: An in-comparison of Zelis solutions

The Department of Health and Human Services (HHS) estimated it paid more than $153 billion in healthcare claims improperly in 2021 and the Department of Justice (DOJ) recovered over $5 billion in fraudulent claims.

Prospective payment integrity (PPI) solutions enable payers to proactively avoid paying claims improperly, versus paying and then chasing claims dollars.

View the full report to see how Zelis matches up to the competition.