PLEXIS Featured in Gartner Market Guide

[Ashland, Oregon – April 2021] PLEXIS Healthcare Systems, 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 (25 June 2019) 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 configurability, ecosystem enablement, 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.

According to the Gartner Report, COVID-19 has caused significant disruption in payer operations including numerous adjustments and exceptions to payment policies. Healthcare payer organizations are seeing an increased need for legacy CAPS platforms to evolve to embrace greater interoperability as well as more real-time, personalized, and digital business operations.

The Market Guide from Gartner describes “Next Generation” CAPS platforms that address these new challenges with characteristics such as “Ecosystem enablement, Cloud delivery, Configurability, Componentization, and Value-based payment enablement”. Garrett believes that the Next Generation CAPS platforms offered by PLEXIS give health payer CIOs greater power to clear hurdles and grow their administrative platforms to match their business goals.

“PLEXIS leverages more than two decades of innovative development to include cloud-based delivery models, open APIs, modular solutions, highly configurable benefit administration, and greater visibility with ready access to real-time data. Said Garrett. “We believe these enhanced capabilities empower payers with highly-competitive assets such as value-based reimbursement models, and faster implementation framework to streamline the introduction of new lines of business or products.”

Contact: Sean R. Garrett


To learn more about how PLEXIS platforms can benefit an organization, please contact the PLEXIS Sales team at or call toll-free 1+ 877-475-3947.

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