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  5. Global Healthcare Policy Administration Solutions: An ABCD Vendor View

Global Healthcare Policy Administration Solutions: An ABCD Vendor View

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7 July 2015
Tom Scales
Mohammed Mahfuz
Nicolas Michellod
Karen Monks

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.

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