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Data Analytics Platforms (Payer)

Payer software solutions that provide enterprise analytics and reporting on clinical, member, operational, and financial data. Products ingest, analyze, and display results using formats like dashboards or scorecards to help non-IT users reasonably understand the data.

Subject Expert
Paul Hess
Research Director
KLAS Research Director - Paul Hess
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Latest Related Report

Data Analytics Platforms for Payers 2025: An Initial Look at Validated Capabilities & Customer Experience) Report Cover Image
Performance
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Data Analytics Platforms for Payers 2025: An Initial Look at Validated Capabilities & Customer Experience
08 April 25
Faced with the financial and staffing constraints currently pervasive in healthcare, payer organizations are continually looking to reduce costs and improve outcomes for their members. To do so, many payer organizations are relying on data analytics solutions to provide strong data visibility, which helps them create efficiencies and make more informed decisions. This report is KLAS’ initial look at payer customer experiences with data analytics vendors, including the breadth of adopted capabilities and the key factors impacting satisfaction. The report shares performance data for three of the vendors included in KLAS’ 2024 <a href="https://klasresearch.com/report/data-analytics-platforms-for-payers-2024-vendor-guide/3461" target="_blank"><u style="color:#4c8bc9;">vendor guide</u></a>, in which data analytics vendors were asked to self-report their areas of focus. KLAS intends to collect data on additional vendors and include them in future reports (see <a href="#additional_vendors"><u style="color:#4c8bc9;">section on additional vendors at the end of the report</u></a>).

Report Abstract

Key Findings:

  1. MedInsight Customers Report Broadest Adoption of Capabilities; Slow Transition to Cloud-Based Platform Driving Some Dissatisfaction
  2. MedeAnalytics Customers Appreciate Responsive Support; Some Want a More Proactive Partnership to Further Drive Outcomes
  3. Strong Service Drives Satisfaction for Clarify Health Solutions* Customers

*Limited data

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Performance Data

Overall Score by Product

Example Data Analytics Platforms (Payer) overall score by product image

Overall Score by Question Topic

Example Data Analytics Platforms (Payer) overall score by question topic image

Provider Facility Size by Product

Example Data Analytics Platforms (Payer) provider facility size by product image

Provider Facility Type by Product

Example Data Analytics Platforms (Payer) provider facility type by product image



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.

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