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Feb 2018 - IDC MarketScape - Doc # US43511218

IDC MarketScape: U.S. Contract Management Tools for Payers 2018 Vendor Assessment

By: Jeff RivkinResearch Director, Payer IT Strategies

Abstract

This IDC study presents a vendor assessment of the 2018 contract management tools for payers using the IDC MarketScape model.

Whether using a "best of breed" approach or one vendor, the silo of provider contract management for payers has been pulverized, enhanced, distributed, and made more complex. New software combinations and broader, tighter integrations are required to meet today's complicated payer/provider contracting environment. Another interesting evolution in this area is around using Salesforce as a backbone security/workflow/user interface engine and stitching functionality around it to achieve functionality previously only found in custom platforms.

Regardless of underlying platform, when selecting vendors, test how provider contracting affects the provider relationship, demand transparency, and seamless interfaces as data is collected, authored, executed, modeled, and re-instantiated in the next version of contracts.

"When re-architecting payer/provider contract management, vendors are looking past the authoring and approval silos to satisfying the two closed loops of provider contract clinical performance and provider reimbursement management," says Jeff Rivkin, research director for IDC Health Insights. "Force this hub of data to move from its previously tangential home to being the hub of your provider relationship management ecosystem."


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