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Care Management Solutions for Payers 2025 Care Management Solutions for Payers 2025
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Care Management Solutions for Payers 2025
Evaluating Partnerships in an Evolving Landscape

author - Bradley Hunter
Author
Bradley Hunter
author - Jennifer Hickenlooper
Author
Jennifer Hickenlooper
 
July 2025

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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author - Carlisa Cramer
Writer
Carlisa Cramer
author - Kath Spencer
Designer
Kath Spencer
author - Andrew Wright
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.