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Population Health Vendor Overview 2023 Population Health Vendor Overview 2023
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Population Health Vendor Overview 2023
Matching Vendor Capabilities to PHM Needs

author - Bradley Hunter
Author
Bradley Hunter
author - Paul Warburton
Author
Paul Warburton
author - Andy Paulsen
Author
Andy Paulsen
 
June 15, 2023 | Read Time: 6  minutes

As more healthcare organizations start to leverage population health management (PHM) technology in their journey toward offering value-based care, they are sometimes uncertain about how well vendors can fulfill their unique needs, as PHM programs vary in breadth and complexity. This report—a follow-up to KLAS’ 2021 report—provides an overview of several PHM offerings to help readers understand (1) what types of organizations typically use the solutions, (2) what the customer experience is like, (3) which solutions see the most market energy and why, (4) which vendors facilitate value-based contract revenue, and (5) how broadly PHM capabilities are adopted.

Note: Although there are six PHM pillars, one pillar—patient engagement—is not covered in this report (view the KLAS website for more information on this pillar).

Who Are the Most Well-Rounded Leaders in PHM Today? 

primary customer types

Of the 12 vendors measured in this report, Epic and Innovaccer stand out in terms of customer experience, market energy, and breadth of PHM capabilities. Their customers include some of the country’s largest healthcare organizations, many of whom are aggressively pursuing risk-based payment models.

Who Delivers the X Factor in Customer Success? 

Azara Healthcare Fosters Strong Partnership with Hands-On Approach to Product Optimization 

overall performance vs partnershipCustomers’ success with PHM often hinges on ongoing optimization from their technology vendors. Some vendors—particularly those whose customers are primarily FQHCs and ambulatory organizations/ACOs—proactively collaborate with customers and establish strong partnerships, while others provide the technology without much guidance. Azara Healthcare respondents say the vendor supports optimization by diving into their detailed data to answer customer questions. This hands-on approach facilitates successful training and implementations. Respondents of Relevant Healthcare (limited data) appreciate the reporting resources and the training that helps them build their own reports. Respondents of Salient Healthcare (limited data) highlight the availability of their service representatives, who proactively help them get the most from the technology.

In general, large IDN customers would like more hands-on collaboration around product development so they can confidently assess value-based contracts and take on more risk. Lightbeam Health Solutions, Arcadia, and Oracle Health (Cerner) offer technology with a lot of capabilities, though respondents often feel they must build out functionality themselves before seeing results. Customers of Innovaccer, Epic, and HealthEC (limited data) say that although their vendor is collaborative, there are opportunities to deliver more functionality for care management workflows and value-based contract performance.

Who Is Seeing the Most Market Energy and Why? 

Innovaccer, Arcadia, and Epic Continue to Be Most Often Considered

Similar to KLAS’ 2021 PHM report, Innovaccer, Arcadia, and Epic are most frequently considered by organizations looking at PHM technology. All three are prioritizing data acquisition and data analysis and have consistently developed broad capabilities in these two areas. Optum and Oracle Health (Cerner) are also considered, though some customers are switching in favor of vendors that will collaborate more and take on more of the heavy lifting around report building and data feed maintenance. One Optum respondent is considering moving to the vendor’s go-forward platform, Optum Performance Analytics. Health Catalyst is often considered by existing customers who already use the vendor for non-PHM functionality as well as by net-new customers managing their own population health programs.

Across the general market, many organizations are looking for administrative reporting that can assess profitability based on current risk models and current/potential value-based reimbursement agreements. Regarding care management and physician engagement, clinicians and care coordinators want AI-enabled tools that can streamline workflows and prioritize gaps in care that need to be addressed.

population health management purchase decisions

Of the PHM Pillars, Data Acquisition Is Top Reason for Consideration

Most organizations making purchase decisions highly prioritize the ability to see the data they want, especially amid ongoing challenges that make it difficult to access comprehensive data (e.g., interoperability, the number of required IT resources). Thus, data acquisition is mentioned as a top factor that influences purchase decisions and customer retention. Among organizations mentioning data acquisition as a reason for replacement, more than half cite frustrations with integration, inaccurate or stale data, or high costs that aren’t sustainable. Clinician engagement is the least considered factor in purchase decisions, as most respondents want to first address connectivity issues.

reasons for consideration

Who Is Facilitating Value-Based Contract Revenue for Customers?

For Arcadia, Innovaccer, and Lightbeam Respondents, Sizeable Portion of Revenue Is Tied to Value-Based Contracts

Third-party vendors are frequently selected by organizations moving toward risk-based models; organizations value the additional functionality and strategic focus third parties can provide, despite the additional costs and IT work. Respondents of third-party vendors Arcadia, Innovaccer, and Lightbeam are satisfied with how their vendor has developed and rolled out administrative and financial tools to help organizations realize revenue from value-based contracts. Arcadia and Innovaccer often work with customers to pull in large complex data sets and facilitate comprehensive analyses, and Innovaccer respondents in particular say the vendor’s help with establishing connections empowers their PHM program. Lightbeam customers say the analytics tool (Cohort Builder) helps them better assess and track ROI for value-based contracts by segmenting patients into custom, concentrated groups to automate workflows.

percent of respondent revenue tied to value-based contracts

Functionality & Adoption Overview across PHM Pillars

functionality & adoption by vendors that work primarliy with large hospitals idns
functionality & adoptions by vendors that work primarily with ambulatory organizations acos
functionality & adoption by vendors that work primarliy with fqhcs

About This Report 

Data for this report comes from two sources: (1) KLAS Decision Insights data and (2) KLAS performance data.

KLAS Decision Insights Data

All references in this report to organizations’ purchasing motivations come from KLAS’ Decision Insights data. Since 2017, KLAS has been gathering information as to which vendors are being replaced, considered, and purchased and what factors drive these decisions. KLAS Decision Insights data does not represent a comprehensive census or win/loss market share study. Rather, it is intended to help organizations understand which vendors have market energy and why. The data set in this report comes from 35 organizations that are making or have recently made a PHM purchase decision validated by KLAS between May 2021 and April 2023.

KLAS Performance Data

Each year, KLAS interviews thousands of healthcare professionals about the IT solutions and services their organizations use. For this report, interviews were conducted over the last 12 months using KLAS’ standard quantitative evaluation for healthcare software, which is composed of 16 numeric ratings questions and 4 yes/no questions, all weighted equally. Combined, the ratings for these questions make up the overall performance score, which is measured on a 100-point scale. The questions are organized into six customer experience pillars—culture, loyalty, operations, product, relationship, and value.

customer experience pillars software

In addition to the customer satisfaction data gathered with the standard evaluation, KLAS asked respondents the following supplemental question to gain further insights into the PHM market: what percentage of your overall revenue is tied to value-based contracts?

Sample Sizes

Sample sizes displayed throughout this report (e.g., n=16) represent the total number of unique customer organizations interviewed for a given vendor or solution. However, it should be noted that to allow for the representation of differing perspectives within any one customer organization, samples may include surveys from different individuals at the same organization. The table below shows the total number of unique organizations interviewed for each vendor or solution as well as the total number of individual respondents.

Some respondents choose not to answer particular questions, meaning the sample size for any given vendor or solution can change from question to question. When the number of unique organization responses for a particular question is less than 15, the score for that question is marked with an asterisk (*) or otherwise designated as “limited data.” If the sample size is less than 6, no score is shown. Note that when a vendor has a low number of reporting sites, the possibility exists for KLAS scores to change significantly as new surveys are collected.

sample sizes
author - Sarah Brown
Writer
Sarah Brown
author - Breanne Hunter
Designer
Breanne Hunter
author - Andrew Wright
Project Manager
Andrew Wright
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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. © 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.