Health Payer Intelligence March 20, 2023
Assessing healthcare payment infrastructure is a critical first step toward payers ensuring that continued digital transformation does not lead to inefficiency and risk.
Health plans and third-party administrators (TPAs) face increasingly stiff competition in today’s payer marketplace. According to a recent American Medical Association study of health insurance markets, three-quarters of commercial markets are highly concentrated — and that figure shows little signs of dissipating.
To keep pace with their competition and improve their standing among purchasers and consumers, health plans and TPAs must identify areas of weakness to achieve new levels of efficiency and put their organizations in an advantageous position to succeed moving forward.
Capabilities gaps are salient in the area of healthcare payments as a result of...