2021 Best In KLAS Care Management Solutions (Payer)

Perception

Transitions of Care 2022

29 December 22 | Bradley Hunter and Paul Warburton

Inefficient care transitions lead to wasted time and energy, increased risk of human error, and potentially poor experiences for both patients and providers. Despite the industry’s attempts to ensure the right information is sent to the right people at the right time, healthcare organizations must often revert to manual processes for data entry, verification, and communication. Some organizations use or want to use technology to streamline their transitions of care (TOC). This report—KLAS’ first to look at TOC—draws from the perspectives of 95 healthcare leaders across multiple care settings to understand their adoption of care transition technology, the challenges they encounter in their care settings, and the vendors they are considering.

In the past, payers have struggled with vendors’ care management solutions not keeping pace with functionality and support needs. Recent market shifts, such as M&A activity and leadership and ownership changes, along with the need for better payer/provider collaboration have created energy and optimism around the future of some vendors. Which vendors are stepping up, and which are missing the mark? This report focuses on how well vendors are helping organizations achieve desired outcomes through delivery of needed technology, excellent support and service, and follow-through on promises.

The Best in KLAS report recognizes software and services companies who excel in helping healthcare professionals improve patient care. All rankings are a direct result of the feedback of thousands of providers over the last year. A Best in KLAS award signifies to the healthcare IT industry the commitment and partnership that the top vendors should provide. Read the report to see the top-rated medical software and services for 2021. Watch sessions from our first-ever virtual Best In KLAS Award Show to hear from the winning vendors in each segment. View Awards Show Recordings

Company/solution	Overall score	Total evaluations	Trend (2020-2021)	Culture	Loyalty	Operations	Product	Relationship	Value	Censinet assessment

Gainwell Technologies (formerly HMS) HMS Holdings Corp Essette CM	82.3	n=17	0%	A-	B+	B	B-	B	C+

ZeOmega Jiva	82	n=10	N/A	B-	A-	B-	B	B	B-

Zyter Casenet TruCare	81.9	n=18	0%	B	B	B-	C+	B+	B
	50.0	100.0		*Limited Data

Company/solution	Trend (2020-2021)	Culture	Loyalty	Operations	Product	Relationship	Value

Gainwell Technologies (formerly HMS) HMS Holdings Corp Essette CM 82.3 n=17 COMMENTS	0%	A-	B+	B	B-	B	C+
ZeOmega Jiva 82 n=10 COMMENTS	N/A	B-	A-	B-	B	B	B-
Zyter Casenet TruCare 81.9 n=18 COMMENTS	0%	B	B	B-	C+	B+	B

Company/solution	Overall performance score	Total evaluations	Culture	Loyalty	Operations	Product	Relationship	Value	Censinet assessment

Cognizant CareAdvance Enterprise (TriZetto) * L	71.7	n=12	C	C	C-	C-	C	C-

EXL Healthcare - Care Management Solutions * L	76.5	n=8	C	C	B	C	B	B

Livongo Health Inc Livongo (Chronic Care Management, Mostly Employer) [C] C	89.3	n=20	A	A	A-	B+	B	A-

Medecision Aerial (for Payer Care Management) * L	61.9	n=10	F	D-	D	D	D+	D-

VirtualHealth HELIOS * L	87.4	n=5	A-	A-	B+	B+	A-	A-

Company/solution	Overall performance score	Total evaluations

Cognizant CareAdvance Enterprise (TriZetto) * L culture C loyalty C operations C- product C- relationship C value C-	71.7	n=12

EXL Healthcare - Care Management Solutions * L culture C loyalty C operations B product C relationship B value B	76.5	n=8

Livongo Health Inc Livongo (Chronic Care Management, Mostly Employer) [C] C culture A loyalty A operations A- product B+ relationship B value A-	89.3	n=20

Medecision Aerial (for Payer Care Management) * L culture F loyalty D- operations D product D relationship D+ value D-	61.9	n=10

VirtualHealth HELIOS * L culture A- loyalty A- operations B+ product B+ relationship A- value A-	87.4	n=5

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