Boston, July 26, 2018 – The struggle is real for U.S. health plans in their quest to manage network providers’ data, and it is defined by low data quality. The path forward could be blazoned at the state level, in which more collaborative models with providers are emerging to improve data quality. The shared consequences of maintaining the status quo extend beyond financial penalties, leading to revenue losses, decreased network and physician utilization, and frustrated consumers.
This Aite Group Impact Note outlines the market trends and highlights the digital transformation impacting the provider data management space across health plans, providers, consumers, and vendors. It is based on 22 interviews from November 2017 through Q2 2018 with executives from U.S. solution providers and health plans with provider data responsibilities.
This 25-page Impact Note contains eight figures and six tables. Clients of Aite Group’s Health Insurance service can download this report, the corresponding charts, and the Executive Impact Deck.
This report mentions Acxiom, Centers for Medicare and Medicaid Services, Change Healthcare, Equifax, Experian, FIS, Gaine Solutions, Hashed Health, Humana, ID Analytics, IDology, LexisNexis Risk Solutions, MultiPlan, NextGate, Optum, Pitney Bowes, Quest Diagnostics, RSA Security, TransUnion, UnitedHealthcare, and Zipari.