Gartner Research

Market Guide for U.S. Healthcare Payers' Core Administrative Processing Solutions

Published: 13 June 2018

ID: G00348809

Analyst(s): Mandi Bishop

Summary

Healthcare payers cannot satisfy customers' rising demands for value or compete against digital disruptors using legacy core administrative processing solutions. CIOs should use this Market Guide to accelerate their transformation to a more digital and nimble architecture.

Table Of Contents

Market Definition

  • Market Description

Market Direction

  • Solution Delivery Model Evolution
    • Configurability
    • Componentization
    • Value-Based Payment Facilitation
    • Ecosystem Enablement

Market Analysis

Representative Vendors

  • Market Introduction
  • Vendor Profiles
    • Cognizant
    • Companion Data Services (CDS)
    • Mphasis
    • Epic
    • Health Solutions Plus (HSP)
    • HealthEdge
    • HM Health Solutions (HMHS)
    • National Account Service Company (NASCO)
    • Oracle
    • Pegasystems
    • PLEXIS Healthcare Systems
    • RAM Technologies
    • SKYGEN USA
    • SS&C Technologies-DST Health Systems
    • Virtual Benefits Administrator
    • Visiant

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