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High Performance: A Road Map to Payer Success in U.S. Healthcare
(1/30/2007) HCT Project Volume 4
By Peter Kongstvedt, M.D., Accenture
Erik Swanson, Accenture
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The only constant in the healthcare industry is the existence of continual change. In an ever-evolving business climate, what can payers do to outperform peers? The answer lies in their ability to harness change through a series of high-performance attributes used to define success.


The obvious way for health plans to grow is by taking business away from the competition. But high-performance payers are even more creative in driving revenue growth than their competitors. High performers also maximize revenue from existing clients and markets through more sophisticated marketing including effective buyer segmentation and cross-selling. For example, health plans bundle their core health product with dental, vision, behavioral health, etc., to increase the overall value derived from each customer.


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