From contract management to population health, we evaluate and prioritize technologies for healthcare payers to consider in value-based care.
With increasing pressure to reduce spending, healthcare payers are adopting technologies that accommodate value-based contracts and help payers partner with providers to meet the challenges of value-driven reimbursement models.
In this report, we evaluate 8 tech markets that healthcare payers should monitor, vet, and prioritize toward this effort, including:
- Contract management
- Denials reduction
- Population health analytics
- Prior authorization
- Provider network management
- Referral management
- Risk adjustment
- Utilization management
This report examines tech markets across value-based care using the MVP framework. This methodology scores top tech markets across two metrics:
Market momentum — Measures private market activity as a signal of the degree of overall market potential. Signals include the number of startups, the amount of capital invested, and the relative maturity of startups in the space, among others.
Industry leader activity — Assesses the degree of tech market involvement among established industry players. Signals include CVC activity, industry and executive chatter, and patent filings, among others.
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