TechTarget November 1, 2018
Once they were two groups with conflicting interests, but now the convergence of healthcare payers and providers is more common as the industry struggles to control costs.
Payer-provider convergence combines two traditionally disparate interests — the healthcare systems that deliver care and the insurance carriers that assume the financial risks for patient populations. It encompasses the technologies and strategies that promote a more efficient and transparent exchange of information between healthcare payers and providers to improve care and lower costs.
In response to providers and insurance carriers assuming more risk, growing concerns with negotiating fair reimbursements and a shift from volume- to value-based payment models, payer-provider partnerships are emerging as a trend that may someday sweep the healthcare industry.
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