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Care Management 2016

Care Management 2016
Changing Market, Changing Needs

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Amid industry changes to reimbursement and care models, health plans are switching their sights from traditional utilization/cost management to member-centric care management and even wellness. Vendor software solutions for care management are plentiful, but are they keeping up with changing client needs? KLAS spoke with 74 health plans to find out.

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  1. Casenet and TCS Stand Out for Performance and Impact; Trizetto and Medecision Clients Struggle
  2. EXL Healthcare Clients Look Beyond Product- Quality Hiccups Toward Future Innovation
  3. Inconsistency Abounds; Clients of AxisPoint at Critical Decision Point
  4. Helpful Analytics Sorely Lacking; Only TCS Currently Seen as Sensible
  5. Trizetto Emerges in (Very) Underdeveloped Member Engagement Area
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This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2018 KLAS Enterprises, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.