% 70
15
of reporting plans use 1 of 5 solutions to support Utilization/Care/Disease Management functions:
MCG Health (Milliman Care Guidelines)
4
Medecision: Aerial
3
Epic: Tapestry
3
MD Live
3
HealthEdge
Vendors with Staying Power: Most plans using MCG Health, MD Live, or HealthEdge report no intent to change their platform
Wondering who to consider? These companies have the highest average recommendation ratings out of UM/CM/DM vendors in our database: 10
3
Distinct Count of Plans
Increase in number of players, but no clear winner yet: Between the 2021 and 2022 surveys, the number of unique products reported in the UM/CM/DM space at our plans climbed from 40 to 66. Almost all new players have only one member plan using their product or service.
plans report changing at least one Utilization/Care/Disease Management platform within 2 years of the survey
0
9
9
9
9
8.5
8
8
8
8
8