Complimentary Gartner research for IT leaders

Get the IT perspective on a promising new payment model.


"Administrative complexity accounts for between $107 billion and $389 billion in total U.S. healthcare spending per year, or more than 9% of all U.S. healthcare spending."

The way we deliver and pay for healthcare is unsustainable. How can payer and provider CIOs work together to modernize healthcare administrative systems? Gartner lays out their real-time payment model, which CIOs can use to develop a real-time payment process.

Gartner’s model addresses both the business practices and IT systems that CIOs must help modernize. The model also moves administration from a “back-office” function into a consumer-engaging one. It places the patient at the center of payer and provider interactions.

An excerpt:

“To envision this ecosystem, instead of using the lens of a provider’s real-time claims submission or that of a payer’s real-time claims adjudication, we must apply a holistic end-to-end view of the complete payment process.”

Read this complimentary Gartner research, provided by Optum.



Gartner: U.S. Healthcare Administration’s Future Requires a Real-Time Payment Ecosystem Powering Value-Based Care, Bryan Cole, Barb Mann, Mandi Bishop, 27 November 2018

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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