Search results for: 'Payer and provider IT'

Healthcare providers and payers are operating under the pressure of rising healthcare costs, demand for better health outcomes, and the need to improve the digital patient experience. All major healthcare stakeholders acknowledge the need to invest in digital infrastructure, and provider-payer collaboration capabilities to facilitate cross-cont...

This Frost Radar™ analysis investigates the healthcare platforms and tools that enhance communication and collaboration between care providers and payers for services, as well as the interfaces that connect payers and providers directly. The payer is often a private insurer, but could also be a patient or a government entity. As the industry transi...

In November 2013, Frost & Sullivan conducted an online survey, followed by a live focus group comprising C-suite executives from leading commercial healthcare payer organizations across the United States. The goal was to gain insights into how the health insurance industry approaches the use of analytics solutions going into 2014. For research purp...

The Next Generation Healthcare Summit brought together a group of senior leaders of healthcare payer and provider organizations from June 13-15, 2018 at the Woodlands, outside of Houston Texas, to address key issues shared by their organizations. With many gains possible from payer-provider collaboration, there were lively discussions regarding sh...

Author: Koustav Chatterjee The concept of value-based care was established to address critical challenges encountered by all healthcare stakeholders—government, providers, health plans, and patients. Historically, the US healthcare system has largely focused on the treatment of patients with immediate needs. In most cases, the market has failed t...

Forward-thinking businesses increasingly evaluate advanced cloud communications and collaboration solutions, including hosted IP telephony and unified communications-as-a-service (UCaaS), as part of their digital transformation initiatives. However, other priorities such as security and network reliability often supersede communications upgrade pro...

24 Jan 2023  |  North America  |  Market Research

US Healthcare Claims Management Growth Opportunities

Intelligent Tools to Automate Payer and Provider Functions Will Boost Efficiency and Deliver a Digital Customer Experience

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The healthcare claims management industry is evolving. Changes include a shifting reimbursement landscape (for virtual care, urgent care, telehealth, and at-home care); a transition to new, value-based care models (e.g., population-based reimbursement and partial and full capitation payment); and disruption from big tech companies, big-box retailer...

This study is based on the findings of an online survey conducted in Q4 2018. The survey panel was comprised of U.S.-based companies? IT and/or telecom decision makers and influencers. The purpose of the survey was to gain a perspective from IT and telecom stakeholders on the adoption and effectiveness of UCaaS solutions, as well as the provider ...

Retail health providers fill the traditional healthcare void by offering healthcare services, such as pharmacy, preventive care, urgent care, chronic condition management, vaccinations, telehealth, wellness, and an emerging focus on women’s health. High cost is a barrier to healthcare and medication access, affecting uninsured and aged populations ...