Payers Can Save Up to 8X More Through a Comprehensive Model | Market Insights™
Payers can save up to 8X more through a comprehensive model, which includes BPaaS, payment integrity, and care management
Payers can save up to 8X more through a comprehensive model, which includes BPaaS, payment integrity, and care management
Electronic Health Records (EHR) IT Services in Healthcare Provider Industry PEAK Matrix™ Assessment 2016
Healthcare Provider IT Services PEAK Matrix™ Assessment 2016
Healthcare payers choose wait-and-see strategy for mergers, health insurance exchanges; focus on security, integrated operations is full steam ahead
The outlook for the global healthcare IT outsourcing (ITO) market is hanging in the balance, with all eyes watching to see the outcome of the U.S. presidential election and the verdict of antitrust proceedings filed by the U.S. Department of Justice opposing the proposed Aetna-Humana and Anthem-Cigna mergers. Despite these uncertainties, Everest Group predicts that the global healthcare ITO market will exhibit a 12 percent compound annual growth rate during the period between 2014 and 2020, reaching US$68.3 billion in 2020.
“This growth, a bright spot in an otherwise bleak IT outsourcing marketplace, will be driven primarily by healthcare payers as they gear up for various movements in the market, such as payer-provider convergence, patient-centric care, evolving reimbursement models and value-chain digitization,” said Abhishek Singh, practice director with Everest Group and leader of Everest Group’s Healthcare & Life Sciences research practice. “Tactically, payers need to evolve on their sourcing maturity journey. The cost and efficiency mandate will be best served by sourcing the best quality services at the lowest possible costs. In this regard, the maturing technology service provider landscape is ripe for payers to explore outsourcing in a big bang manner.”
Everest Group has identified four trends that will shape healthcare IT outsourcing demand in the next 24 months:
Each of these trends—how they came to be and the implications they hold for payers, service providers and consumers—are discussed in detail in “Healthcare Payer IT Services: Outsource (Offshore) or Perish.” In this annual report, Everest Group analyzes the current trends and future outlook of large, multi-year ITO relationships in the healthcare payer market. The report also provides specific insights into enabling a go-to-market strategy for healthcare IT.
Life sciences market maturity 2016 based on Everest Group’s PEAK Matrix™ and APEX Matrix assessments™.
Click for more details on Everest Group’s Healthcare and Life Sciences practice
Starting with a list of 200+ healthcare start-ups, we identified those that met sufficient funding levels and then categorized them into five segments from which we selected the leaders based on the criteria described below.
Healthcare, particularly in the U.S., is facing significant challenges, driving major transformation among all healthcare stakeholders.
The confluence of systemic challenges and changing expectations is spawning technology development in the healthcare industry, driving significant start-up funding, and creating opportunities for healthcare enterprises and service providers alike.
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While India remains the preferred life sciences IT delivery location, service providers are developing onshore and nearshore capabilities to leverage an optimum location mix
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The life sciences IT opportunity varies by industry segment with big data & analytics, data management, and remediation being common themes
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