Gartner Research

Market Guide for Healthcare Payer Care Management Workflow Applications

Published: 30 May 2016

ID: G00276931

Analyst(s): Jeff Cribbs


Care management workflow applications form the operational backbone of payer population health management programs. Use this Market Guide to understand the market dynamics, purchasing trends and vendors in this solution space.

Table Of Contents

Market Definition

Market Direction

Market Analysis

  • Vendor Segments Remain an Important Indicator of Perspective on the Care Management Space, Relative Strengths and Strategic Direction
    • Core Claims
    • CRM and Engagement
    • Clinical Content and Analytics
    • Population Specialists
    • Care Management Natives

Representative Vendors

  • Altruista Health
  • AxisPoint Health
  • Casenet
  • Cognizant
  • DST Systems
  • Essette
  • EXL
  • HealthEdge
  • IMA Technologies
  • Medecision
  • MedHOK
  • Pegasystems
  • TCS Healthcare Technologies
  • Virtual Health
  • ZeOmega

Market Recommendations

  • Care Management Is Only One Function of a Population Health Program; Functional Niche Vendors Complete the Picture for Most Payers

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