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Hype Cycle™ for U.S. Healthcare Payers, 2021

This Hype Cycle provides critical input for strategic planning by tracking the maturity level and adoption rate of payer technologies and deployment approaches. U.S. healthcare payer CIOs should use this research to plan new and manage existing investments for business optimization and transformation.

Analysis: What You Need to Know

Payers’ strategic and operating environments are changing — quickly (see 2021 Business Drivers for U.S. Healthcare Payer CIOs). The Biden administration is putting its stamp on health policy through new regulations and updated interpretations, and payers are recalibrating their competitive advantages and risks in the wake of the COVID-19 pandemic. (See Use Reset Scenarios to Move From Survival to Renewal for U.S. Healthcare Payers.) This is not the time for business-as-usual IT planning. Instead, CIOs must lean into technological and business change.

The path of payer industry change has never been as uncertain as it is today. Your organization, and the technologies you orchestrate, need to enable enterprise adaptability to meet any number of emerging market needs. A composable enterprise architecture will enable you to flexibly reconfigure IT applications and meet new business requirements on demand (see Tool: U.S. Healthcare Payer CIO Executive Presentation for Building the Composable Payer Business). Success will not come from implementing the point technologies in this Hype Cycle at the right time, but rather from combining them with other applications and data to deliver the experiences that members and partners expect.

This Gartner report will provide the insights you need to enhance your electronic value-based payments and understand how they will evolve over time.

1 Source: Gartner, Hype Cycle for U.S. Healthcare Payers, 2021, Bryan Cole, Jeff Cribbs, Mandi Bishop, 13 July 2021

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