target audience: TECH BUYER Publication date: Nov 2024 - Document type: IDC MarketScape - Doc Document number: # US51810824
IDC MarketScape: U.S. Health Plan Prior Authorizations Solutions 2024 Vendor Assessment
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Abstract
This IDC study provides an evaluation of vendors that provide payer solutions for prior authorization. The vendors we chose include front-runners in the industry that were chosen for their market share and penetration of their potential growth opportunities.
According to Jeff Rivkin, research director, Payer IT Strategies at IDC Health Insights, "Prior authorization, mandated by CMS to be more efficient and transparent in 2026 and 2027, is a priority area of payer spend. Vendors are coming from many avenues to offer solutions for both narrow regulatory compliance and comprehensive care and utilization management. The space is complex, the vendors are evolving, and the market is hot."