Vice President – Healthcare,
Cloud & Data Solution Sales
Onboarding, retaining, and servicing the providers within a payer organization is becoming a core focus due to expansion into new markets and strict state and federal regulations around access to care. Providers have taken a back seat to member acquisition and retention, but as payers move to new payment models and strategies combined with low provider satisfaction rates, there is an immediate need for a complete overhaul of the way providers are contracted. Payers are now looking at new ways to streamline the contracting process including the selection of a new robust digital platform. They will have to be careful to not fall into the same trap of selecting a system not intended for healthcare payer contracting, systems with limited or no integration capabilities, poor reporting and not user-friendly. The business and IT teams need to work together to find solutions that will benefit the entire organization for years to come.
Below are the six core business functions critical to reducing the gap between the payer and the provider, while also ensuring a better user experience for all parties.
Selecting the right platform will enable payer organizations to lead the marketplace and increase provider satisfaction, but careful evaluation of the many offering is critical in the buying process and for long-term success.
The article was originally published on Health IT Outcomes and is reposted here by permission.
Subscribe to keep up-to-date with recent industry developments including industry insights and innovative solution capabilities
Bring all payer stakeholders together while streamlining manual processes and disparate functions using technological levers with intelligent healthcare product and benefits management system.
Director - Healthcare Practice