Showing contents from:

Payers and Providers

Healthcare Analytics for Payers: How to Thrive Through Shifting Financial Risk (Executive Report)

To stay in sync with healthcare’s transition to value-based care, payers today must develop the analytics capability to support alternative payment models and drive more value to their members. Payers can follow an analytics roadmap to develop a strategy that extends their data, analytics, and risk management expertise to meet growing demands.

The analytics roadmap helps the payer meet these common challenges of establishing a data-driven culture:

  • Recruiting and retaining high-quality providers in a competitive market.
  • Managing increasing numbers of high-risk/high-cost members with limited resources.
  • Efficiently reacting to federal and state legislative and payment changes.
  • Controlling the rising costs of healthcare services and pharmaceuticals.