Gartner cited HealthEdge as a Sample Vendor for its next-generation core administration system in its July 2019 Hype Cycle for U.S. Healthcare Payers Report, 2019 for the 9th consecutive year.*
"Technology is what enables the entire architecture. It allows us to meet the needs of our primary constituents."
Payers, providers, the U.S. government, and other entities have made initial investments in value-based reimbursement. And while these initial investments have, in some cases, made great strides in the march toward quality-based care, costs are still increasing, payers and providers are no closer to a trust-based relationship, and fee-for-service is still a large part of reimbursement.
There are significant market forces impacting Medicare, both today and in the future. The rise of value-based reimbursement models along with innovative pilot demos is forcing a different awareness for providers and a changed reality for payers. Read how regulatory reform continues to provide a layer of uncertainty that directly impacts the ability for payers to plan ahead.
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