Abstract

This IDC study provides an evaluation of seven vendors that provide payer solutions for provider data management. The vendors we chose include front-runners in the industry that were chosen for their market share and penetration of their potential growth opportunities.

According to Jeff Rivkin, research director, Payer IT Strategies at IDC Health Insights, "Provider data management systems of record are being evolved by payers that want to automate workflow, solidify data, and enable flexibility in their back office to reduce operational costs. As payers attempt to respond to governmental mandates and competitive pressures, the ability to maintain, control, and evolve provider networks fast and effectively is a competitive advantage. Those payers that can't may not survive the onslaught of value-based reimbursement, expanding provider types, and the increased consumer and regulatory demand for directory accuracy and network adequacy."

Coverage