U.S. Healthcare Payer 2009 Top 10 Predictions

Publication Date	January 2009
Publisher	IDC
Product Type	Report
Pages	20
ISBN Number	not applicable
Product Code	IDC06689

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Summary

This Health Industry Insights report identifies the major trends in 2009 that will impact the healthcare payer current business and future market differentiation. The overarching theme for this year is how the combination of three factors will affect healthcare payer initiatives and IT spending: consumers' placement of healthcare costs at the top of their list of significant concerns, the economic crisis triggering the emergence of cost management and cost control at the top of healthcare payer market concerns, and healthcare reform as one of the top priorities of businesses and state and federal government initiatives. All constituents and challenges focus on technology as one of the key tools to better control and manage healthcare costs.

Healthcare payer technology investments will continue, but the three factors will likely change priorities, focus, selection, and deployment decisions. And, some newer technology and program decisions may ultimately be lower priorities while investments in the core technologies required for best return on investment are made.

"Healthcare payers are entering a challenging business environment, where business and technology investment is needed, and at the same time, cost management is a key priority. The most favorable technology solutions will improve the costs of technology acquisition and management; reduce corporate and program costs, and position the healthcare payer to make best use of extra-enterprise solutions to improve consumer and provider interactions," states analyst Janice Young, program manager, Health Industry Insights' Healthcare Payer research.

Content

Predictions
In This Report
Situation Overview
- The Sleeping Giant of 2009: ICD-10
Future Outlook
- Prediction #1: "Spreadsheets Are Back in Vogue," and Cost Management Will Top the Healthcare Payer Priority List
  - Drivers
  - Implications/Predictions
- Prediction #2: Return on Investment Will Emerge as a Key Driver of Technology Investment and Selection
  - Drivers
  - Implications/Predictions
- Prediction #3: Investment in Foundational Technologies Will Be Prioritized to Improve Return on Health 2.0 and Related Technologies Investment, Cleaning Up the Core
  - Drivers
  - Implications/Predictions
- Prediction #4: Component/SOA Technology Strategies Will Move from Interesting Concepts to Early Adopter Strategies
  - Drivers
  - Implications/Predictions
- Prediction #5: Provider Relationship Management Initiatives and Investments Will Be Prioritized over Consumer Initiatives
  - Drivers
  - Implications/Predictions
- Prediction #6: Retail Microconsumerism Concepts Will Be Adopted into Healthcare Payer Strategies
  - Drivers
  - Implications/Predictions
- Prediction #7: Business Intelligence Differentiation Will Focus on Driving Better Outcomes
  - Drivers
  - Implications/Predictions
- Prediction #8: Care Management Will Focus on Holistic Strategies That Leverage the Physician-Patient Relationship as Precursor to the Medical Home Concept
  - Drivers
  - Implications/Predictions
- Prediction #9: Health 2.0 Will Be Used to Engage Consumers and Create a Competitive Advantage
  - Drivers
  - Implications/Predictions
- Prediction #10: The Medical Home Concept Pilots Will Emerge in 2009 But Will Evolve Slowly Due to Lack of Funding/Payment Methodologies and Requisite Technology Infrastructure
  - Drivers
  - Implications/Predictions
Essential Guidance
- For Healthcare Payers
- For Technology Vendors
Learn More
- Related Research
- Synopsis