The IDC Perspective discusses the commercial market bringing payers conflicting priorities. Providing employer groups with the custom plans they demand while efficiently managing that data throughout their many siloed operational systems proves challenging for payers."Using a 'cost takeout' methodology instead of simple 'cost reduction' in the commercial market allows payers to solve this evolving space holistically. Using AI, outsourcing, network definition, and product mix surgically allows comprehensive re-engineering in an area that has traditionally had problems scaling up," says Jeff Rivkin, research director, Health Insights, IDC.
Executive Snapshot
Situation Overview
How Is Cost Takeout Different from Cost Reduction?
Why Has a Commercial Group Strategy Been Elusive for Most Payers?
Where Have Payers Seen Success in Managing Commercial Group Business on a Scale?
What's Wrong with the Status Quo?
What Challenges Do Commercial Payers Face?
Speed and Quality
What Are the Operational Roadblocks to Change?
Advice for the Technology Buyer
Actions to Take for Growth
Actions to Take for Cost Takeout
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Related Research
Synopsis
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