Healthcare Payer Service Providers Assessment 2024

This technical report assesses healthcare payer service providers for the year 2024, focusing on the evolving landscape of healthcare risk management and the necessary supplier strategies to address these changes. The report evaluates 45 suppliers based on their value propositions, capabilities, go-to-market strategies, and the outcomes they deliver, particularly in relation to the quadruple aim of care, which includes cost, experience, health outcomes, and health equity. It highlights the increasing trend of outsourcing among health plans to mitigate financial pressures and the role of AI in streamlining processes. Additionally, the report discusses the challenges faced by health plans, including declining margins and the need for vertical integration. It also emphasizes the importance of addressing health equity as a growing concern in the industry, particularly with the introduction of the Health Equity Index in Medicare Star ratings. The findings are based on data collected from over 300 US and global payers and more than 50 supplier partners.