Provider-Payer Convergence

John MooreFounder & Managing Partner
Matt Guldin Senior Analyst

Provider-Payer Convergence refers to initiatives and technologies that promote more efficient exchange of information between payers and providers as the roles between these stakeholders continue to blur. At Chilmark Research, our efforts focus on payer/provider partnership business models and evolution, at-risk and delegated risk technology requirements, market adoption trends, and best practice technology solutions and strategies. Technologies encompass solutions for all emerging delegated at-risk and joint venture payer/provider business initiatives. Research spans new technology requirements in emerging markets, market and technology evolution for the at risk, consumer and population health market.

Recent Report

Tackling Prior Auth: New Solutions to Address Provider-Payer Friction

This report answers the following questions:
  • How is PA evolving for providers and payers alike, given the growing expansion of VBC adoption?
  • What is the current state of pharmacy and medical PA technology and process?
  • Who is innovating in this space to improve the provider-payer experience and clinical and cost outcomes?
  • What should healthcare organizations (HCOs) consider as they decide on a solution?
  • Where do significant gaps remain that HCOs will struggle to fill?

Most Recent

Bundled Payments: Current Tools and Strategies

Episodic or ‘bundled’ approaches to care and payment are emerging ...

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Tackling Prior Auth: New Solutions to Address Provider-Payer ...

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Reducing the Risk of Risk-Based Arrangements: Vendors Enabling ...

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Payers Accelerating the Move Towards Value-Based Reimbursement

Recently, HHS Secretary Sylvia Burwell announced plans to accelerate ...

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Most Popular

Reducing the Risk of Risk-Based Arrangements: Vendors Enabling ...

Scroll down to purchase this report. If you are a qualifying ...

Jennifer Rogers in

Tackling Prior Auth: New Solutions to Address Provider-Payer ...

Scroll down to purchase this report. If you are a qualifying ...

Jennifer Rogers in

Payers Accelerating the Move Towards Value-Based Reimbursement

Recently, HHS Secretary Sylvia Burwell announced plans to accelerate ...

John Moore lll in

2012 Benchmark Report: Payer Adoption of Emerging Consumer ...

Published Date: August 2012 Report provides comprehensive market scan that ...

John Moore III in

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