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1. Navigating the Future: Client Rankings Guide Health Plans to Advanced IT Solutions for 2026 and Beyond
2. Empowering Medicare Advantage: Top Technology Vendors for Compliance and Performance in 2026
3. 2025 Rankings Unveiled: Essential IT Solutions for Medicare Advantage Plans
4. Achieving Excellence: The Top Technology Providers for Medicare Advantage in 2026
5. Transforming Healthcare: Client Rankings of Leading IT Solutions for Medicare Advantage Plans
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Client Rankings Guide Health Plans to Advanced IT Solutions for Superior Compliance, Performance, and Member Outcomes for 2026 & Beyond
WASHINGTON, D.C. / ACCESS Newswire / May 25, 2025 — In a landscape marked by increasing regulatory scrutiny, Medicare Advantage (MA) plans are turning to technology for solutions. Black Book Research has released its 2025 rankings of top-rated technology vendors, highlighting those that are pivotal in helping health plans navigate the complexities of CMS regulations and achieve coveted 5-Star ratings.
Doug Brown, Founder of Black Book Research, emphasized the urgency for sophisticated technological solutions, stating, "The escalating complexity of CMS audits demands innovative approaches. Our rigorous survey methodology identifies the premier technology providers empowering Medicare Advantage plans to master regulatory compliance, enhance care quality, and achieve superior member satisfaction."
The comprehensive study surveyed 1,046 Medicare Advantage executives and IT leaders, evaluating vendors based on 18 qualitative Key Performance Indicators (KPIs). These KPIs cover a range of critical areas, including ease of integration, user-friendliness, customization capabilities, and data security, ensuring a transparent and thorough assessment.
Top Technology Vendors for Medicare Advantage Plans
The rankings categorize the top-performing vendors into several key areas:
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Care Management Platforms & Chronic Disease Management
- ZeOmega, HealthEdge (CareManager), EXL (CareRadius), VirtualHealth (HELIO), GuidingCare (Altruista Health)
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Population Health Management (PHM) Platforms
- Innovaccer, Lumeris, Lightbeam Health Solutions, Health Catalyst, Arcadia
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Interoperability & Data Integration Platforms
- InterSystems (HealthShare), Smile Digital Health, Cureatr, Redox, Moxe Health
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Member Engagement & Communication Platforms
- Icario, Welltok (Virgin Pulse), mPulse Mobile, HealthCrowd, Convey Health Solutions
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Quality Measure Management & Analytics
- Inovalon Quality Intelligence, SPH Analytics (Press Ganey), HealthEdge (GuidingCare), EXL CareRadius Analytics, ZeOmega Jiva
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Audit Readiness & Compliance Management
- Inovalon, Veradigm, Cotiviti, Edifecs, Health Fidelity
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Risk Adjustment & Coding Optimization
- Edifecs, Apixio, SCIO Health Analytics (EXL), Advantasure
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Claims Integrity & Fraud, Waste, Abuse Detection
- Codoxo, Cotiviti, Change Healthcare
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Utilization Management & Prior Authorization
- Cohere Health, MCG Health, eviCore
- AI & Machine Learning in Quality & Risk Management
- Innovaccer, Apixio, ClosedLoop.ai
Brown noted, "By leveraging these highly-rated technology partners, health plans significantly elevate their capabilities to comply with CMS standards, manage rigorous audits efficiently, and deliver outstanding outcomes. These tools are essential for Medicare Advantage plans seeking to thrive in 2026 and beyond."
For health plan leaders eager to enhance their technological strategies, detailed insights and complete rankings from Black Book’s "2025 Medicare Advantage 5-Star Technology Enablers Report" are available at no cost at Black Book Research.
About Black Book Research
For over two decades, Black Book Research has provided independent, unbiased analysis and rankings within healthcare technology, services, and managed care solutions. Its vendor-agnostic methodologies deliver trusted insights, guiding strategic technology decisions for thousands of healthcare executives and payer IT decision-makers.
Contact Information:
Press Office
[email protected]
800-863-7590
SOURCE: Black Book Research
View the original press release on ACCESS Newswire.
