Hype Cycle for U.S. Healthcare Payers, 2024

The Gartner® report focuses on payer technologies and deployment approaches that enable digital optimization of current business processes and transformational technologies that promise high strategic value.

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 to plan new and manage existing investments for business optimization and transformation.

This Hype Cycle contains 22 innovations that support the integration of digital business methodologies and accelerating interest in emerging technology investments. These innovations fall into two categories: 1) digital optimization and modernization and 2) digital transformation and innovation. By selecting the right technologies, timing and approaches, organizations can better meet the health value needs of members and purchasers alike while increasing profitability and reinvestments.

Key Takeaways

• Invest in payment integrity solutions that detect and prevent improper payments in addition to those that perform retrospective claims payment analysis.
• Select vendors that use AI as a complement to human experience, not as a replacement.
• Review existing payment integrity capabilities and relationships before procuring additional modules to avoid redundancies across solutions.

"Gartner, Hype Cycle for U.S. Healthcare Payers, 2024, Mandi Bishop, Austynn Eubank, Connie Salgy, 29 July 2024 GARTNER is a registered trademark and service mark of Gartner, Inc. and/or its affiliates in the U.S. and internationally, and HYPE CYCLE is a registered trademark of Gartner, Inc. and/or its affiliates and are used herein with permission. All rights reserved.

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