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Janice W. Young

Program Director, Payer IT Strategies

As Program Director of Health Industry Insights' Payer IT Strategies program, Janice Young is charged with identifying the key emerging trends and technologies impacting payer business success and IT portfolio management today. A renown industry veteran with extensive research experience, Young is dedicated to helping healthcare stakeholders establish strong strategic, business and operational plans supported by integrated and aligned IT strategies. Her research focuses on solutions to improve market positioning, product development and execution, operational efficiencies, customer satisfaction, quality of care and care outcomes. Specific hot topics include as future healthcare business and IT scenarios, consumer directed health plans (CDHP), and outsourcing trends and directions, advanced analytics and pay for performance.

Prior to joining Health Industry Insights, Young spent eight years as vice president and research area director for Gartner Research Advisory Services, where she led research strategy for the company's healthcare payer market initiatives.

Outside of the research space, Young's previous experience includes a senior associate position at William M. Mercer's Healthcare Provider Consulting Practice, as well as operations director and manager positions at Blue Cross and Blue Shield (BCBS) of Massachusetts. Among the many successes at BCBS, Young chaired an operations task force responsible for new product implementation and process redesign of 400,000 member mixed model system, and spearheaded the implementation of a managed mental health program covering 100,000 lives served by 200+ healthcare providers. Her career began at Tufts Health Plan in Waltham, MA, where she managed Tufts' IPA relationships and instituted management reporting and analytical tools to enhance the company's program management processes.

Throughout her career, Young has received numerous accolades and earned industry-wide recognition for her work in the healthcare field. She frequently asked to speak at industry events, and serves as a valued resource to the news media on many healthcare topics.

Young holds both a Bachelor of Science (BS) degree and a Master of Health Sciences, Health Finance and Management from Johns Hopkins University in Baltimore, MD.

Research Authored by Janice W. Young

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Retail Payment and Financial Management Tools in Healthcare: 2007–2010 Prognosis
Janice W. Young
Sep 2007 - Doc # HI208839      Looking Ahead
This Health Industry Insights report provides a comprehensive summary of the convergence and adoption of retail payment and financial funding and savings tools in the U.S. healthcare payer marketplace. Healthcare payer current ...
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The Transaction Side of Healthcare Payer Financial Transparency: What's Real About Real-Time Claim Processing and Payment in 2007?
Janice W. Young
Sep 2007 - Doc # HI208537      Perspective
This Health Industry Insights Perspective details healthcare payer real-time claims adjudication and payment adoption rates as of midyear 2007. Data and analysis are extracted from a Health Industry Insights June 2007 healthcar ...
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Financial Transparency: Healthcare Payer Strategies and Execution 2007-2009
Janice W. Young
Sep 2007 - Doc # HI208400      Looking Ahead
This Health Industry Insights report examines healthcare payer technology current and future investment strategies in financial transparency initiatives. Questions answered within this document include the following::
Healthcare Payer Transparency Initiatives: Managing Provider Data
Janice W. Young
Aug 2007 - Doc # HI208117      Market Overview
This Health Industry Insights report examines how the growing mandate for healthcare payer efficiency and information transparency is leading to an increased focus on provider network management technology investments. Question ...
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How Big Is the Pay-for-Performance Slice of the IT Services Pie?
Rachele Manning, Janice W. Young
Jul 2007 - Doc # HI207572      Market Overview
This Health Industry Insights report projects pay-for-performance spending in IT services. Multiple drivers will have an influence on spending across several service categories.: "IT services are a critical compo ...
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Responding to Healthcare Consumerism: Three Emerging Healthcare Payer Technology Investment Requirements
Janice W. Young
Jul 2007 - Doc # HI207853      Perspective
This Health Industry Insights Perspective provides an overview of new emerging technologies to support healthcare payer consumerism initiatives. The U.S. healthcare movement toward consumerism has created new financial services ...
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Challenges of Transparency
Janice W. Young, Lynne A. Dunbrack
Jun 2007 - Doc # HI207608      Looking Ahead
This Health Industry Insights report examines the challenges that will determine the effectiveness of information transparency initiatives. Healthcare stakeholders have enthusiastically embraced information transparency as the ...
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Healthcare Claims Processing and Consumer Payment Solutions: A Sampler of Emerging Solutions, Midyear 2007
Janice W. Young
Jun 2007 - Doc # HI207529      Market Overview
This Health Industry Insights report discusses a number of announcements of solutions that provide healthcare service pricing and payment tools to providers and consumers at the point of care. Deployment in 2007 is largely limi ...
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The Tipping Point Finally Arrives: How Healthcare Payers Are Changing Business and IT Investment Strategies in Response to the Transparency Imperative
Janice W. Young
Jun 2007 - Doc # HI207406      Looking Ahead
This Health Industry Insights report examines how the transparency and information demands will change the healthcare payer business and IT investment strategies in the next 5–10 years. Questions answered in this document inclu ...
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How Healthcare Drivers Will Influence the Size of the Pay-for-Performance Software Spending Pie
Rachele Manning, Janice W. Young
May 2007 - Doc # HI207014      Market Overview
This Health Industry Insights report projects pay-for-performance spending in software. Multiple drivers will have an influence on spending across several software categories.: "Most initiatives are less than two ...
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