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GARTNER RESEARCH


HYPE CYCLE FOR U.S. HEALTHCARE PAYERS, 2023

Published: 10 July 2023


SUMMARY

This Hype Cycle provides critical input for strategic planning by tracking the
maturity level and adoption rate of payer technologies and deployment
approaches. U.S. healthcare payer CIOs should use this to plan new and manage
existing investments for business optimization and transformation.


INCLUDED IN FULL RESEARCH

Analysis

Appendixes
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading
 * Definition:
 * Why This Is Important
 * Business Impact
 * Drivers
 * Obstacles
 * User Recommendations
 * Sample Vendors
 * Gartner Recommended Reading

Gartner Recommended Reading

What You Need To Know

WHAT YOU NEED TO KNOW

U.S. healthcare payers are prioritizing growth, experience and technology
modernization as top enterprise goals (see ). In 2023, payers are contending
with new, powerful forces that challenge their progress (see ):

 * Regulatory fragmentation with often-conflicting mandates across federal and
   state laws (see )

 * Wide availability of generative AI technologies that could transform most
   processes and solutions (see )

 * Mainstream media focus on administrative processes, such as prior
   authorization, elevating reputational risk as a primary business decision
   driver — potentially eclipsing actuarial math (see )

 * Growing availability of expensive curative treatments that deliver optimal
   health value to members (effectively eliminating

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Analysts:

Mandi Bishop,  Connie Salgy,  Austynn Eubank


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THE HYPE CYCLE: UNDERSTANDING THE PITFALLS AND OPPORTUNITIES OF INNOVATIONS

HOW DOES A GARTNER HYPE CYCLE™ WORK?

A Gartner Hype Cycle provides an objective map that helps you understand the
real risks and opportunities of innovation, so you can avoid adopting something
too early, giving up too soon, adopting too late, or hanging on too long. Every
Hype Cycle includes five phases:

The innovation trigger starts when an event, like a technological breakthrough
or a product launch, gets people talking.

The peak of inflated expectations is when product usage increases, but there’s
still more hype than proof that the innovation can deliver what you need.

The trough of disillusionment happens when the original excitement wears off and
early adopters report performance issues and low ROI.

The slope of enlightenment occurs when early adopters see initial benefits and
others start to understand how to adapt the innovation to their organizations.

The plateau of productivity marks the point at which more users see real-world
benefits and the innovation goes mainstream.

THE HYPE CYCLE IS MORE THAN JUST A DIAGRAM. YOU ALSO GET:


EVIDENCE-BACKED INSIGHT

Hype Cycles tap into deep research, surveys and conversations with technology
suppliers and Gartner clients.

AN ANALYSIS OF OBJECTIVE AND VALUE

The y-axis measures expectations. The x-axis relates them to the proven value of
that innovation over time.

A LONG-TERM VIEW

It often takes between three and five years for an innovation to move through
the Hype Cycle, but some fall off along the way.




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