How U.S. Healthcare Payers Can Optimize Costs by Choosing the Best Core Administration Vendors

Payer focus on administrative cost reduction is relentless. With limits on incremental price concessions obtainable from vendors, CEOs increasingly task CIOs with re-engineering business processes to dramatically reduce costs.

Bryan Cole Gartner

How U.S. Healthcare Payers Can Optimize Costs by Choosing the Best Core Administration Vendors

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Inside your How U.S. Healthcare Payers Can Optimize Costs by Choosing the Best Core Administration Vendors, you will find recommendations and market information regarding the Healthcare Administration Software industry. This guide will help your team as you decide on a benefits administration system.

Seek differentiating core administration capability by considering emerging vendors over those with more penetration among health insurers. If your organization seeks to differentiate on value-added member services and consumer experience, then consider business process outsourcing for claims, member enrollment and premium billing functions.

How U.S. Healthcare Payers Can Optimize Costs by Choosing the Best Core Administration Vendors

VBA – Cloud Based Administration of All Benefits and Any Plan Design on One System

Increase Efficiency by 50% or More

  • All Functions And Transactions Are Real-Time
  • Process Automation in All Areas
  • Hyperlink Navigation
  • Gather All information in Seconds
  • Auto Adjudication

Eligibility/Call Center/ Claims/Network Management/Care Management

Dynamic Web Portal

Real-Time Medicare and UCR Pricing

Real-Time Claims Payment (RTCP) – Patent Pending

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Disclaimer for Report:
Gartner. How U.S. Healthcare Payers Can Optimize Costs by Choosing the Best Core Administration Vendors, Bryan Cole, 6 October 2017
Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research publications consist of the opinions of Gartner’s research organization and should not be construed as statements of fact. Gartner disclaims all warranties, expressed or implied, with respect to this research, including any warranties of merchantability or fitness for a particular purpose. GARTNER is a registered trademark and service mark of Gartner, Inc. and/or its affiliates in the U.S. and internationally, and is used herein with permission. All rights reserved.

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