Global Healthcare Policy Administration Solutions: An ABCD Vendor View

Vendor Reviews
Global

Abstract

The healthcare market is changing rapidly across the globe, from the implementation of the Affordable Care Act in the United States to the privatization of healthcare in China.

In the report Global Healthcare Policy Administration Solutions: An ABCD Vendor View, Celent looks at policy administration systems available to health insurers globally. The following IT vendors and systems are profiled in this report:

  • Access Meditech: TOSHFA
  • Activus Limited: Act-isure
  • Adacta: AdInsure
  • adesso: in|sure Health
  • AETINS: ISF Health
  • Aimsoft Limited: AIMS Medical
  • C2L BIZ: SymbioSys
  • Cognizant: Facets/QNXT
  • Concentrix: GIAS
  • CONSIS Intl: Ascel –e
  • COOPENGO: COOG
  • Diasoft: Diasoft Insurance Medical
  • EIS Group: PolicyCore
  • ESKADENIA: ESKA Insures
  • Fadata: INSIS Health
  • GBST: Composer
  • IN2: INsurance2
  • INDRA: iONE
  • InsPro: InsPro Enterprise
  • Majesco: Majesco Policy Administration System
  • MedNext Intl: MedNeXt+
  • Mphasis-Wyde: Wynsure
  • Newgen: Newgen PAS
  • Nissay IT: i-Win MICHL/LIFE
  • Sapiens: Sapiens IDIT Healthcare
  • Sinosoft: Sinosoft HIS
  • TCS: TCS BaNCS
  • TechnoSys: AIMSweb
  • Xuber: OPEN Core Platform: Health

“Insurance CIOs need to be aware of the technology available to them in the market so they can invest in software that is agile enough to address the day to day needs of their operations and is flexible enough to allow for business growth and innovation opportunities,” says Karen Monks, an analyst with Celent’s Insurance practice and coauthor of the report.

“The purpose of this report is to help identify vendors that can provide new technology approaches to the development, deployment, and management of existing policy administration applications,” says Tom Scales, a research director with the Celent’s Insurance practice and coauthor of the report.

Celent profiles 29 health policy administration systems vendors. Eleven vendors are compared using Celent ABCD Vendor View, which is a standard representation of a vendor marketplace designed to show at a glance the relative positions of each vendor in four categories: Advanced technology, Breadth of functionality, Customer base, and Depth of client services.

This 200-page report contains 48 figures and 121 tables.

Celent is a research and advisory firm dedicated to helping financial institutions formulate comprehensive business and technology strategies. Celent publishes reports identifying trends and best practices in financial services technology and conducts consulting engagements for financial institutions looking to use technology to enhance existing business processes or launch new business strategies. With a team of internationally based analysts, Celent is uniquely positioned to offer strategic advice and market insights on a global basis. Celent is a member of the Oliver Wyman Group, which is a wholly-owned subsidiary of Marsh & McLennan Companies [NYSE: MMC].

Media Contacts

North America
Michele Pace
mpace@celent.com
Tel: +1 212 345 1366

Europe (London)
Chris Williams
cwilliams@celent.com
Tel: +44 (0)782 448 3336

Asia (Tokyo)
Yumi Nagaoka
ynagaoka@celent.com
Tel.: +81 3 3500 3023

Table of Contents

Executive Summary

1

Introduction

2

Health Insurance Market

3

Policy Administration Systems: Definition and Functionality

6

Report Methodology

9

Celent’s ABCD Vendor View

14

Vendor Profiles

17

Access Meditech Private Limited: TOSHFA

18

Activus Limited: Act-isure

25

Adacta Group: AdInsure

32

Adesso AG: in|sure Health

37

AETINS SDN BHD: ISF Health

42

Aimsoft Limited: AIMS Medical

49

C2L Biz Solutions Private Limited: SymbioSys

55

Cognizant Technology Solutions Corporation:  Facets and QNXT Applications

60

Concentrix Corporation: GIAS

71

Consis International: Accel -e

78

COOPENGO SAS: COOG

84

Diasoft: Diasoft Insurance Medical

89

EIS Group, Inc.: PolicyCore

94

ESKADENIA Software: ESKA Insures

99

Fadata AD: INSIS Health

105

GBST Wealth Management Pty Ltd: Composer

111

IN2 informacijski inženjering d.o.o.: INsurance2

117

INDRA SISTEMAS: iONE

123

InsPro Technologies: InsPro Enterprise

129

Majesco: Majesco Policy Administration System

135

MedNet International Ltd.: MedNeXt+

141

Mphasis-Wyde; Part of Mphasis: Wynsure

147

Newgen Software Inc: Newgen PAS

153

Nissay Information Technology Co., Ltd.: iWin MICH/LIFE

159

Sapiens: Sapiens IDIT Healthcare

164

Sinosoft Company Limited: Sinosoft HIS

169

Tata Consultancy Services: TCS BaNCS

175

TechnoSys Group: Aimsweb

181

Xuber: OPEN Core Platform: Health

186

Conclusion

193

Leveraging Celent’s Expertise

195

 

Support for Financial Institutions

195

 

Support for Vendors

195

Related Celent Research

196

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