Gartner’s Market Guide for U.S. Healthcare Payers’ Core Administrative Processing Solutions shows PLEXIS core administrative capabilities while outlining urgent new priorities for healthcare payer CIO’s amid market and regulatory turmoil.
[Medford, Oregon – March 2022] PLEXIS Healthcare Systems, celebrating 25 years as an established innovator in digital core administrative processing solutions (CAPS), is featured in Gartner’s Market Guide for U.S. Healthcare Payers’ Core Administrative Processing Solutions (published February 2022) as a representative vendor.
The Gartner market research report provides information about “Next Generation” advances in CAPS platform technology to address new priorities such as “composable architecture, configurability, price transparency, cloud- based delivery, and evolving value-based payment models.
“We believe Gartner’s Market Guide for U.S. Healthcare Payers’ Core Administrative Processing Solutions consistently illustrates the key drivers for healthcare payers’ success,” said Sean Garrett, Chief Operating Officer for PLEXIS Healthcare Systems. “By adding the term “composable architecture” to the lexicon of priorities for next generation CAPS within the 2022 guide, Gartner is highlighting an urgent need within the payer industry to adapt quickly to disruptive market conditions and also to counter tech-savvy competitors.
According to the Gartner Report, the COVID-19 pandemic continues to cause significant disruption in payer operations including numerous adjustments and exceptions to payment policies. According to the Garter Market Guide, healthcare payer CIO’s are more urgently expressing a need to upgrade from legacy CAPS platforms to next generation CAPS involving composable architecture which will allow them greater freedom to transform at scale.
The recently published 2022 Market Guide from Gartner describes “Next Generation” CAPS platforms that can easily adapt to shifts in market conditions and new compliance challenges with characteristics such as ecosystem enablement, cloud delivery, configurability, componentization, and value-based payment enablement. Mr. Garrett believes that the Quantum Choice™ next generation CAPS platform offered by PLEXIS provides health payer
CIOs these key CAPS characteristics allowing them to clear hurdles and grow their administrative platforms to quickly accommodate regulatory changes and market conditions as well as their own business goals.
“PLEXIS leverages 25 years of thoughtful client-focused development to include cloud-based and on-prem delivery models, open APIs, modular solutions, highly configurable rules-based benefit administration, and ready access to real-time data.” Said Garrett. “We’ve built these powerful core capabilities into our Quantum Choice CAPS platform to empower at-risk and no- risk payers with the incredible adaptability unique to a composable digital healthcare payer platform architecture. Utilizing our Quantum Choice platform, a payer CIO will have significant scalability and speed-to-value with faster implementation framework to streamline the introduction of new lines of business or products.”
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About PLEXIS Healthcare Systems
PLEXIS Healthcare Systems is a leading payer technology company that delivers trusted enterprise core administration and claims management solutions to healthcare payers and delivery systems around the globe. More than 100 organizations trust PLEXIS core administrative enterprise solutions to manage over 55 million lives in all 50 states and around the globe. PLEXIS provides mission-critical solutions that catalyze efficiencies and connect evolving business ecosystems to a wide range of payer organizations