Payers operate in a dynamic market in which the rules keep changing and the interrelationships among payers, providers, consumers, employers and the government grow steadily more complex. Decisions about how healthcare dollars are spent are made increasingly by consumers who must pay a greater share of escalating healthcare costs. Research by PricewaterhouseCoopers reveals that more than 75% of large employers believe they can cut corporate healthcare costs by asking employees to pay a greater share. Thirty-five percent of employers surveyed currently offer high-deductible health plans and 25% offer health savings accounts (HSAs).
In the commercial sector, the ongoing evolution of employer/consumer needs presents payers with both challenges and opportunities. From a government perspective, federal and state initiatives are doing the same. To thrive in this new market, payers must constantly strive to deliver lower costs, higher quality, and better service. In order to achieve these objectives, payers will need to re-invent their product offerings and re-engineer their business processes and information systems, while maintaining controls and regulatory compliance.
How we can help you
Whether your organization needs to grow market share, develop strategies to decelerate rising healthcare costs, streamline business operations, maximize return on IT investment, improve the efficiency of compliance programs — or all of the above — PricewaterhouseCoopers can help you overcome your toughest challenges. From assurance, audit and tax offerings to the full spectrum of business advisory and consulting services, our people provide research-driven insights and reality-tested methodologies to help you grow your business.
PricewaterhouseCoopers Payer Services
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