Gartner Research

Market Guide for Healthcare Payer Care Management Workflow Applications

Published: 07 March 2018

ID: G00310381

Analyst(s): Jeff Cribbs


Care management workflow applications form the operational backbone of payer population health management programs. Healthcare payer CIOs can 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 Indicator of Perspective on the Care Management Space, Relative Strengths and Strategic Direction
    • Core Claims
    • CRM and Engagement
    • Population Specialists
    • Care Management Natives

Representative Vendors

  • Market Introduction
  • Vendor Profiles
    • Altruista Health
    • AssureCare
    • Casenet
    • Cognizant
    • DST Systems
    • HMS
    • EXL
    • HealthEdge
    • IMA Technologies
    • Medecision
    • MedHOK (Medical House of Knowledge)
    • Pegasystems
    • VirtualHealth
    • ZeOmega

Market Recommendations

  • Care Management Is Only One Part of a PHM Architecture; Functional Niche Vendors Complete the Picture for Most Payers

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