projects will combine existing standards and architectures with new
technologies to produce innovative solutions. These solutions must
develop at the speed of the marketplace.
4. Business and IT Collaboration: As organizations move beyond back room
automation to business process redesign and service automation, the
importance of a strong business/IT partnership is heightened. The
market for business process analysts, project managers, and IT
auditors is on the rise.
5. Data Analytics and Informatics: Disease Registries, scorecards, member
outreach, case management and customer segmentation will continue to
drive investment in analytics. As clinical information becomes more
readily available through PHRs and EHRs, data-mining and advanced
decision support tools will improve the practice of real-time
6. Collaboration with Providers as a Business Partnership: Prior
authorization and utilization reviews are fading, and in their place
is a more collaborative model based on access, quality, safety,
effectiveness and patient centeredness. P4P is holding providers
accountable, stressing bridges to excellence.
7. The Role of State and Federal Government in Health Care: Government
support, intervention and regulation are having increasing impact on
payer's operations, costs and even marketplace strategies. The
importance of electronic health information technology in reforming
the U.S. healthcare system is evident in the President's Four
Cornerstones initiative. The 2008 election will feature healthcare
reform in response to voter demands. Mandates, increased regulation,
oversight and compliance audits will impact IT budgets, operations and
|SOURCE Managed Care Executive Group|
Copyright©2008 PR Newswire.
All rights reserved