Provider Network Management (PNM) remains a mission-critical and complex function for U.S. healthcare payers. Yet, many organizations rely on siloed workflows, outdated tools, and homegrown systems that struggle to meet modern demands.
The result? Credentialing delays, data quality issues, compliance risk, and fractured provider relationships that impact network performance and member satisfaction.
Gartner® Reveals What’s Next for Healthcare Payers
According to us, the newly published Gartner® Market Guide for U.S. Healthcare Payers’ Provider Network Management Applications states that the landscape is shifting. Payers are now prioritizing integrated, modular platforms that unify the provider lifecycle.
The report outlines how modern Provider Network Management (PNM) solutions must
- advance provider relationships
- support collaboration, and
- adopt a broader Healthcare and Life Science Total Experience (HCLS TX)
Whether automating credentialing, managing directories, or optimizing network analytics, this report offers strategic insights to help you confidently navigate payer transformation.
The Spotlight: Newgen
Newgen has been recognized by Gartner in the report as a Representative Vendor offering provider lifecycle management capabilities. We feel the report explicitly highlights Newgen as a key player in helping organizations optimize their end-to-end provider lifecycle process.
Newgen’s AI-first Provider Network Management (PNM) solution offers a flexible, modular architecture that aligns with payer maturity levels. In our opinion, It directly reflects Gartner report’s recommendation that “to get the maximum value out of investments or adopt a best-of-breed approach to match needs or maturity, payers may want to break up PNM capabilities into flexible, modular components.”
Download the complete report to gain strategic insights on how Newgen and other players are helping top healthcare organizations.
Why Read This Report?
- See what’s changing in provider network management and why speed, scale, and automation are no longer optional
- Learn how trusted players are using modern platforms to boost compliance, enable value-based care, and enhance provider experiences
- Explore must-have capabilities in next-gen PNM solutions, from AI-driven workflows to modular, scalable architectures
- Get a clear view of the market and why Newgen is recognized
Gartner, Market Guide for U.S. Healthcare Payers’ Provider Network Management Applications, by Faith Adams, 16 June 2025.
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