Home chevron icon Payer Solutions chevron icon Payer Software

Care Management Solutions (Payer)
 

Standalone vendor solutions that provide analytics and workflow capabilities to help healthcare payers manage and improve member/patient health conditions.

Subject Expert
Bradley Hunter
VP VBC, Payer, and CORE
KLAS VP VBC, Payer, and CORE - Bradley Hunter
   Bookmark
Best in KLAS Category

Latest Related Report

Payer Care Management 2023: How Do Vendors Perform as Use Cases Expand?) Report Cover Image
Performance
KLAS article icon
Payer Care Management 2023: How Do Vendors Perform as Use Cases Expand?
09 May 23
Over time, care management vendors have developed new functionalities that have allowed payer organizations to move beyond traditional use cases (e.g., case management and utilization management) into emerging use cases (e.g., behavioral health, automated prior authorization). Care management solutions are in an already low-performing market with persistent integration and functionality challenges, and with these emerging use cases, customers have a renewed need for strong engagement and support from vendors. This report examines which vendors are providing strong customer relationships, delivering innovative product functionality, and facilitating adoption and long-term customer loyalty.

Report Abstract

Key Findings:

  1. InfoMC, ZeOmega, and MHK (Limited Data) Drive Strong Customer Relationships
  2. Medecision and UpHealth (Limited Data) Struggle to Meet Customers’ Product & Relationship Needs
  3. ZeOmega and HealthEdge Support Broad Emerging Use Cases—Still, Some Functionality Challenges Persist
  4. Even with Broad Use-Case Functionality, Cognizant Customers Have Mixed Success with Integration; Zyter (Casenet) Customers Want Less Buggy Upgrades
  5. HealthEdge Leads in Considerations and Wins; EXL (Limited Data) and Gainwell Technologies Vulnerable to Replacement


to see the full dataset.

If you don't have a login, getting started is easy.

Provider Organizations
Fill out our registration form to verify your organization.
HIT Companies
Contact a KLAS representative for plans and pricing.

Performance Data

Overall Score by Product

Example Care Management Solutions (Payer) overall score by product image

Overall Score by Question Topic

Example Care Management Solutions (Payer) overall score by question topic image

Provider Facility Size by Product

Example Care Management Solutions (Payer) provider facility size by product image

Provider Facility Type by Product

Example Care Management Solutions (Payer) provider facility type by product image
View All Articles
Related Articles
Article
KLAS article icon
KLAS and the Healthcare Payer Market
03 August 21    |   Joe VanDeGraaff
Including payers and payer vendors in our research at KLAS has helped paint a broader picture of healthcare IT and measure healthcare more holistically.
Article
KLAS article icon
Coming Together at the Payer/Provider Summit
25 November 19    |   Sharlin Bird
The payer/provider relationship in healthcare is full of speed bumps and roadblocks, a fact unsurprising to even the patients. I was excited (and admittedly a little nervous) to see how both sides wou
Article
KLAS article icon
Payer-Provider Convergence
04 October 19    |   Kate Gibson and Marwood Group
On the path to a fee-for-value model, payers and providers must be increasingly moving in lockstep to solve provider outcomes. Whether this means that the payvider method is most effective remains to
Article
KLAS article icon
Payer Care Management: Vendors Could Do Better
11 September 19    |   Doug Tolley
It’s like an SAT question: population health is to the EMR what care management is to the core claims platform. (There’s your SAT throwback for the day.) The problem is that payers often can’t figure



Reducing Filters

Unlike sizing filters, reducing filters DO NOT recalculate scores based on the evaluations that meet these requirements. They narrow the list of solutions to show the vendors and solutions that can meet a specific need.

This data is based on interviews with a sample of the firms' recent clients. As a result, it is not necessarily comprehensive of all work a firm may do in this segment.

We require a minimum of 2 confirmations of a service performed in the last 3 years for a solution to qualify.

We use cookies! We use essential and basic aggregated, depersonalized Google Analytics cookies to provide the type of content which our visitors are most interested in.  Cookie Policy    
​