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For Customer Experience Professionals

The Forrester Wave™: Healthcare Claims Platforms, Q1 2008

TriZetto And DST Health Solutions Lead In A Highly Consolidated Market

January 17, 2008

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Why Read This Report

Following significant consolidation in the healthcare claims platform space over the past two years, Forrester evaluated eight products among the remaining four leading vendors across 61 criteria. TriZetto and DST Health Solutions are Leaders, thanks to their flexible benefits design capabilities and consumer-directed health (CDH) focus. IT services firms Electronic Data Systems (EDS) and Perot Systems remain competitive with their core claims engine workhorses and sound technology strategies, but they lack standout features like pre-integrated CDH adapters, which both vendors say will be addressed later this year via strategic partnerships. Overall, differentiation in this mature market is less about the actual claims processing capabilities and more about complementary functionality like flexibility in benefits design, CDH administration, and integrated health management.

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Table of Contents

  • Health Plans Have Renewed Focus On Their Claims Platforms
  • Healthcare Claims Platforms Evaluation Overview
  • Leaders Stand Out With Benefits Flexibility And Organic CDH Support
  • Vendor Profiles
  • Supplemental Material
  • Related Research Documents

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