mPulse, a leading provider of Health Experience and Insights technology, announced that it was recognized by Gartner in its “Hype Cycle for U.S. Healthcare Payers, 2024” (July, 2024) report as a Sample Vendor in three market categories: Health Navigation Solutions, Social Determinants of Health Resource Management and Provider/Partner Network Management Platforms.
This recognition marks the third consecutive year mPulse has been included in the Gartner report and first time mPulse has been recognized across three categories. The report focuses on payor technologies and deployment approaches that enable digital optimization of current business processes and transformational technologies that promise high strategic value. The mPulse team considers inclusion as a sample vendor across three market categories to be an indicator of the breadth of capabilities and benefits that mPulse provides to support healthcare payors and their digital strategies.
Health Navigation Solutions
These solutions integrate and orchestrate data and workflows across disparate functions — such as health and wellness programs, medical shopping, condition management and virtual care — to deliver high-value interactions throughout the member journey. This market is predicted to have a high level of impact and benefit to the healthcare industry and is in the early mainstream level of category maturity.
Social Determinants of Health Resource Management
This market category is predicted to have a transformational market impact over the next 2-5 years. It describes an operational model where a payer, provider or government agency adopts to orchestrate nonmedical services and mitigate the effects of social determinants on health status and outcomes. It has low market penetration of 5-20% of the target audience.
Provider/Partner Network Management (PNM)
These platforms are the technology tools and services associated with managing the relationships and interactions between payers, providers and other partners in delivering health value to members, including provider directory accuracy and health navigation. They integrate the data sharing, workflows and contractual obligations necessary to support the full life cycle of provider relationships — from network design and onboarding to claims payment, servicing and contract renewal. These capabilities have a high market benefit rating, reflecting the provider directory accuracy, health navigation and value-based networks.
The mPulse team believes this Hype Cycle identifies key capabilities that payers must adopt to drive digital innovation and meet the wide-ranging needs of health consumers. To industry observers, mPulse’s inclusion across three category areas in the report demonstrates the company’s breadth of capabilities that can support significant business optimization and transformational strategies being implemented by leading health plans.
SOURCE: Businesswire