2023 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.

Company/solution	Overall performance score (100-point scale)	Total evaluations	Trend (2022-2023)	Culture	Loyalty	Operations	Product	Relationship	Value

ZeOmega Jiva	82.9	n=18	0%	B-	A-	B-	B	B+	C+

HealthEdge GuidingCare	75.8	n=18	N/A	D+	B	C-	C+	B-	C

Gainwell Technologies (formerly HMS) Gainwell Care Management (formerly Essette)	73.8	n=7	N/A	C	C+	B-	D+	C	C+

Zyter Casenet TruCare	71.9	n=17	-11%	D	C	C+	C-	B-	C

Medecision Aerial (for Payer Care Management)	49.7	n=7	N/A	F	F	D+	F	F	D-
	50.0	100.0

Company/solution	Trend (2022-2023)	Culture	Loyalty	Operations	Product	Relationship	Value

ZeOmega Jiva 82.9 n=18 COMMENTS	0%	B-	A-	B-	B	B+	C+
HealthEdge GuidingCare 75.8 n=18 COMMENTS	N/A	D+	B	C-	C+	B-	C
Gainwell Technologies (formerly HMS) Gainwell Care Management (formerly Essette) 73.8 n=7 COMMENTS	N/A	C	C+	B-	D+	C	C+
Zyter Casenet TruCare 71.9 n=17 COMMENTS	-11%	D	C	C+	C-	B-	C
Medecision Aerial (for Payer Care Management) 49.7 n=7 COMMENTS	N/A	F	F	D+	F	F	D-

Company/solution	Overall performance score (100-point scale)	Total evaluations	Culture	Loyalty	Operations	Product	Relationship	Value

Cognizant CareAdvance Enterprise (TriZetto) * L	62.5	n=7	D	F	C-	D	C+	D

EXL Healthcare Care Management Solutions * L	75.6	n=7	B-	C-	B-	C	B+	C+

InfoMC Incedo Care Management [NR]	78.6	n=7	B-	C	C	C	A-	B+

MHK (formerly MedHOK) MHK CareProminence (formerly MedHOK Care Management) * L	88.1	n=5	C+	A+	A-	B	B+	A+

VirtualHealth HELIOS * L	59.8	n=3	F	C	D-	F	D	C

Company/solution	Overall performance score (100-point scale)	Total evaluations

Cognizant CareAdvance Enterprise (TriZetto) * L culture D loyalty F operations C- product D relationship C+ value D	62.5	n=7

EXL Healthcare Care Management Solutions * L culture B- loyalty C- operations B- product C relationship B+ value C+	75.6	n=7

InfoMC Incedo Care Management [NR] culture B- loyalty C operations C product C relationship A- value B+	78.6	n=7

MHK (formerly MedHOK) MHK CareProminence (formerly MedHOK Care Management) * L culture C+ loyalty A+ operations A- product B relationship B+ value A+	88.1	n=5

VirtualHealth HELIOS * L culture F loyalty C operations D- product F relationship D value C	59.8	n=3

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