Simplify Healthcare listed as a sample vendor in Gartner Hype Cycle for US Healthcare Payers 2018

Simplify Healthcare launches industry’s first automated CMS PBP Medicare Product Configuration and Document Generation solution

NAPERVILLE, IL – January 23, 2019 – Simplify Healthcare, a leading healthcare technology solutions company with deep expertise in benefit plan management, provider data and contracts management and value-based reconciliation, announced that the company has been identified as one of the few vendors in the Gartner 2018 Hype Cycle for Value-Based Payment Reconciliation Systems.

According to Gartner Hype Cycle Report: value-based payment reconciliation systems automatically combine payer claims data with quality reports (such as the Healthcare Effectiveness Data and Information Set, or HEDIS) and provider contract terms. The resulting outputs are both real-time reporting of provider progress against value-based contract thresholds and periodic bonus or penalty payment calculations. Systems should also include a risk adjustment component to correct for varying population health burdens among providers.

Simplify Healthcare’s solution – Advanced Payment Platform (AP2) combines the payer’s analytics capability with a powerful reimbursement engine that complements existing claims-based fee for value payments. AP2™ is a modular solution that can be implemented in a phased manner as per payer readiness. It is suitable for all lines of business, including commercial and government programs.

Our solutions are designed in such a manner that they can address the industry’s toughest challenges faced by Health Plans today and value-based payments is emerging as a critical need of the healthcare industry. We’re proud to be named as a sample vendor by Gartner Hype Cycle for US Healthcare Payers 2018 and we always strive to put quality over quantity by providing simple and efficient value-based solutions to Healthcare Payers, Mohammed Vaid, CEO/Chief Architect Simplify Healthcare.

At Simplify Healthcare, we believe that by addressing critical pain points with our solutions, Health Plans will be able to improve quality, reduce costs, improve speed-to-market and eventually bend the healthcare cost curve.

Simplify Healthcare offers Simplify9, a SaaS platform that enables digital business process transformation with a unique combination of capabilities including a dynamic data storage, workflow management, document generation, user-defined business rules, multiple data views based on need, and easy integration into core systems. Our current products eBenefitSync™, eMedicareSync™, eProviderSync™, and AP2™ are configurations of our Simplify9 platform focused on solving critical pain points for Health Plans.


Simplify Healthcare is a rapidly growing technology solutions company that addresses the toughest challenges facing Health Plans in today’s competitive marketplace. Simplify Healthcare was awarded the Deloitte 2018 Technology Fast 500, recognized in the 2018 Inc. 5000 list of America’s fastest-growing private companies, listed as a sample vendor in 2018 Gartner Hype Cycle for value-based reconciliation solutions, won the 2018 Corp! Magazine Michigan’s Bright Spot award and Corp! 2016 Technology Innovation award, was named the sole leader in IDC’s Health Plan Product/Plan Benefit Configuration Solutions Vendor Assessment in 2016 and voted the Best Newcomer for 2014 at the Healthcare IT Summit. For more information, please visit

Disclaimer: Gartner does not endorse any vendor, product or serviced depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research publications consist of the opinions of Gartner's research organization and should not be construed as statements of fact. Gartner disclaims all warranties, expressed or implied, with respect to this research, including any warranties of merchantability or fitness for a particular purpose.

Follow us on LinkedInTwitter and Facebook.