Customer rankings guide health plans for advanced IT solutions for higher compliance, performance and members’ performance for 2026 and beyond
Washington, May 25, 2025 (Newswire.com) –
In response to important challenges to which the Medicare Advantage plans (MA) face due to the intensified regulations of the CMS and the strict audit protocols, Black Book Research has unveiled its 2025 ranking of the best customer technology suppliers, critically allowing health plans to obtain and maintain 5 -star CMS ratings. The authority list highlights the excellent suppliers in the essential key categories to meet the expectations of the evolution of the CMS, the conformity and the interoperability to the commitment of the members and the advanced analysis.
“The climbing of the complexity of CMS audits requires sophisticated technological solutions,” said Doug Brown, founder of Black Book Research. “Our rigorous survey methodology identifies the main technology suppliers, which allows the Medicare plans to control regulatory compliance, improve the quality of care and achieve higher satisfaction of the members.”
The complete study of Black Book, based on information of 1,046 Advantage Medicare managers and IT managers, classifies the most efficient suppliers according to 18 Qualitative key performance indicators (KPI), guaranteeing methodological transparency. These KPIs encompass the ease of integration, conviviality, personalization capacities, supplier reactivity, proactive commitment of customers, training quality, innovation and continuous improvement, regulatory compliance, reliability, scalability, efficiency, efficiency of engagement, risk management, interfunctional collaboration, collaboration between customers and quality of customer partnership and perfection.
The most efficient supplier categories are as follows:
1. Care management platforms and chronic disease management
Zeomega, Healthedge (Caremanager), Exl (Careradius), Virtualhealth (Helio), Guidingcare (Altruista Health)
2. Post of the population health management (PHM)
Innovaccer, Lumeris, Lightbeam Health Solutions, Health Catalyst, Arcadia
3. Interoperability and data integration platforms
Intersystems (Healthshare), Smile Digital Health, Curetr, Redox, Moxe Health
4. Commitment and communication platforms for members
Icario, Welltok (Virgin Pulse), Mpulse Mobile, Healthcrowd, Convey Health Solutions
5. Management and analysis of quality measures
Inovalon Quality Intelligence, SPH Analytics (Press Ganey), Healthedge (Guidcare), Exl Careradius Analytics, Zeomega Jiva
6. Management of audit preparation and compliance
Inovalon, Veradigm, Cotiviti, Edifecs, Fidelity Health
7. Risk adjustment and coding optimization
Edifecs, Apixio, Scio Health Analytics (EXL), Advantasure
8. Complaints integrity and fraud, waste, detection of abuses
Codoxo, Cotiviti, health changes
9. Use management and previous authorization
COHERE Health, MCG Health, Evicore
10. AI and automatic learning in quality and risk management
Innovaccer, Apixio, Fermloop.a
“By taking advantage of these much appreciated technological partners, health plans considerably increase their capacities to comply with CMS standards, effectively manage rigorous audits and provide exceptional results,” added Brown. “These tools are essential for the Advantage Medicare plans seeking to prosper in 2026 and beyond.”
Detailed ideas and complete rankings of the “2025 Medicare Advantage 5 stars of technology technology” are now available for health plan chiefs engaged in strategic technological progression on https://blackbookmarketresesearch.com/technology-dablers-for-high-porging-madica-mealth-2025
About the search for black books
Black Book Research provides independent and impartial analyzes and rankings within the technology of health care, services and care solutions. For more than two decades, its agnostic supplier methodologies have delivered trusted information, without the influence of suppliers or the sponsorship bias, guiding strategic technological decisions for thousands of health executives, paid IT decision -makers and managed care professionals.
Source: Black Book Research