The implementation of next-generation enterprise core administrative payer technology from PLEXIS allows payers a greater capability to transform at scale and meet the needs of a highly competitive and rapidly evolving industry.
Medford, Oregon – June, 2022 – PLEXIS Healthcare Systems, a leading healthcare payer
technology company and innovator in next generation digital core administrative processing
solutions (CAPS), today announced another payer administrator selecting the Quantum
Choice™ next-generation enterprise administrative platform provided by PLEXIS Healthcare
systems. The Medicare Special Needs Plan (SNP) is based in the Western United States and
operates 250 healthcare facilities nationwide.
Anticipating large scale growth of membership as well as regulatory requirements, the plan
chose the PLEXIS Quantum Choice enterprise administrative platform, augmented with the
flexible architecture of Quantum Choice’s data integration layer, to facilitate more efficient real
time system-to-system integration. The Quantum Choice solution effectively sets the foundation
for significant componentization, interoperability, and scalability to meet growing membership,
all while optimizing the IT ecosystem to integrate efficiently with other applications, legacy
systems, and vendors.
Gartner, a leading technological research and consulting firm, quantifies the importance of
“Composable Architecture” within the context of a rapidly evolving Healthcare Payer market
landscape: “…Only a composable digital healthcare payer platform (DHPP) architecture will
enable (Payers) the adaptability needed to deliver health value in the dynamic future of
healthcare.”
“Utilizing the Quantum Choice solution, payers take advantage of a granular message-based
infrastructure delivering batch file and real-time integration capabilities to support a multitude of
diverse workflows.” Said Sean Garrett, chief operating officer for PLEXIS Healthcare Systems.
“We’re proud to deliver a composable architecture solution to support a health plan’s business
objectives, both within the Operations and Information Technology realms.”
About PLEXIS Healthcare Systems
Celebrating 25 years of service, PLEXIS Healthcare Systems is a leading payer technology company that delivers trusted enterprise core administration and claims management solutions to healthcare payers and delivery systems around the globe. More than 100 organizations trust PLEXIS core administrative enterprise solutions to manage over 55 million lives in all 50 states and around the globe. PLEXIS provides mission-critical solutions that catalyze efficiencies and connect evolving business ecosystems to a wide range of payer organizations. PLEXIS Healthcare Systems is featured in Gartner’s 2022 Market Guide for U.S. Healthcare Payers’ Core Administrative Processing Solutions (February 2022) as a Representative Vendor.