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Care Management Solutions for Payers 2025
Evaluating Partnerships in an Evolving Landscape
Author
Bradley Hunter
Author
Jennifer Hickenlooper
As care management continues to increase in strategic importance for payer organizations, their investments in IT infrastructure and emerging technologies are expanding rapidly. Integration with core claims systems has become a baseline expectation, and many payers are consolidating their IT stacks to create more seamless workflows. At the same time, vendor alignment with payer-specific needs remains critical, especially as payers look to ensure data security and compliance in an increasingly complex environment. This report examines strengths and opportunities in vendor performance and delves into how vendors are addressing top-of-mind concerns for payers, including security, integration, and AI.
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Key Findings:
- ZeOmega’s Flexible Solution Leads to Continued Growth; Elligint & Cognizant Customers Report Renewed Confidence Due to Service & Product Improvements
- Customers Report Missed Promises from MHK, Zyter & Medecision*
- Security Program & Risk Management: Customers of ZeOmega, Zyter & HealthEdge Note Minor Opportunities for Improvement
- Integration: MHK & ZeOmega Customers Mostly Satisfied with Integration, Including APIs
- AI: Adoption in Very Early Stages
*Limited data
Writer
Carlisa Cramer
Designer
Kath Spencer
Project Manager
Andrew Wright
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. © 2025 KLAS Research, 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.