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Payer Core Claims and Administration 2017

Payer Core Claims and Administration 2017
The Future Suggests a Bumpy Road

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Many health plans today are faced with rapidly changing regulations combined with middle-of-the-road performance from their core claims and administration vendors. Citing poor service and support, old technology, and nickel-and-diming, these health plans are looking for improved innovation and the ability to quickly adapt to industry changes.

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Key Topics

  1. Cognizant Invests in TriZetto; Innovation from Smaller Vendor Health Solutions Plus (HSP) Looks Promising
  2. Many DST and Eldorado Customers Headed for the Exit
  3. Cognizant and HSP More Adaptable to Industry Changes
  4. HealthEdge and Other Smaller Vendors Garnering New Market Energy

The vendor landscape, market presence, core capabilities, and performance ratings from the experience of health plans are included.

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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.