Healthcare Payer Analytics

A Look at What is Driving Payers’ Use of Analytics Solutions in 2014

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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 purposes, analytics was defined as a solution in 3 categories: core platform solutions for big data functions, point solutions designed to address specific business needs, and external analytics vendors that payer organizations use to provide services or expertise. Issues analyzed include current (2013) and planned (2014) investments for analytics solutions, vendors and products deployed, and common challenges in implementing analytics initiatives. Top business drivers currently motivating payer use of analytics while accelerating future use have also been outlined.

Table of Contents

Executive SummaryExecutive SummaryExecutive Summary (continued)Key Questions This Study Will AnswerResearch ObjectivesMethodologyHealthcare Payers—Majority of Respondent TypesHealthcare Payers—Respondent Organizations by TypeHealthcare Payers—Respondent Organizations by Number of MembersHealthcare Payers—Respondent Organizations by RevenueCEO’s PerspectiveExecutive Summary—3 Big PredictionsHealthcare Payers—Industry DynamicsHealthcare Payers—Industry DynamicsHealthcare Payers—Industry Dynamics (continued)Healthcare Payers—Industry Dynamics (continued)Healthcare Payers—Industry Dynamics (continued)Healthcare Payers—Industry Dynamics (continued)Healthcare Payers—Industry Dynamics (continued)Healthcare Payers—Industry Dynamics (continued)Healthcare Payers—Industry Dynamics (continued)Healthcare Payers—Industry Dynamics (continued)Healthcare Payers—Industry Dynamics (continued)Healthcare Payers—Industry Dynamics (continued)Healthcare Payers—Industry Dynamics (continued)Healthcare Payers—Industry Dynamics (continued)Healthcare Payers—Market Drivers for Analytics SolutionsHealthcare Payers—Select Responses on Analytics Needs and ChallengesHealthcare Payers—Most Impactful Issues Over the Next 5 YearsHealthcare Payers—Expected Financial Impact of ACA Over Next 5 YearsHealthcare Payers—Top Business Needs* Driving AnalyticsMarket Drivers—Categorizing Healthcare Payers’ Analytics Focus AreasHealthcare Payers—Types of Analytics Most Needed in 2014Market Drivers DiscussionMarket Drivers Discussion (continued)Healthcare Payers—Key Analytics ChallengesHealthcare Payers—Biggest Analytics ChallengesMarket Challenges DiscussionMarket Challenges Discussion (continued)Healthcare Payers—Expenditures and ROIHealthcare Payers—Analytics Investment Plans for 2014 Compared to 2013Healthcare Payers—Estimated Expenditures for Analytics in 2013Healthcare Payers—Estimated Expenditures for Analytics in 2014Healthcare Payers—ROI on Analytics ExpendituresExpenditures and ROI DiscussionHealthcare Payers—Analytics VendorsHealthcare Payers—Competitive Market Forces Impacting Analytics Vendors Healthcare Payers—Number of Analytics Vendors Deployed Per OrganizationHealthcare Payers—Number of Analytics Vendors Deployed Per Organization by Type of SolutionSelect Analytics Vendors Mentioned by RespondentsAnalytics Vendors DiscussionAnalytics Vendors Discussion (continued)The Last WordThe Last Word—3 Big PredictionsThe 3 Big Predictions DiscussionThe 3 Big Predictions Discussion (continued)The 3 Big Predictions Discussion (continued)The 3 Big Predictions Discussion (continued)The 3 Big Predictions Discussion (continued)Legal DisclaimerAppendixTable of Acronyms UsedMarket Engineering MethodologyLearn More—Next StepsThe Frost & Sullivan StoryThe Frost & Sullivan StoryValue PropositionGlobal PerspectiveIndustry Convergence360º Research PerspectiveImplementation ExcellenceOur Blue Ocean Strategy




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