System Assessment & Procurement

Effective system upgrades mesh with your organization’s current demands and are sufficiently dynamic to evolve with your strategies and marketplace changes.

Expand your organization’s ability to make insightful, intelligent system-upgrade decisions.  With each averaging 20 years of experience in the healthcare field, our FlexTech consultants possess extensive knowledge and experience in dealing with most software systems on the market today. In addition, continuous training ensures that we keep pace with the changing IT marketplace, including technological evolution, government regulation and emerging business needs.

We have compiled our knowledge into a methodology designed to help organizations rigorously move through the system selection process.

The FlexTech System Procurement process includes a proprietary tool—The Business Requirements Matrix—which provides critical input for health plan managers. This matrix provides a side-by-side functionality comparison of the top 20 software products on the market today, as measured against a list of specific organizational needs in the following areas:

Claims Administrative Systems:

  • Analytics & Reporting
  • Appeals & Grievance
  • Benefits Administration
  • Billing & Accounts Receivable
  • Capitation
  • Consumer Directed Health
  • Claims Processing
  • Claims Payable
  • COBRA
  • Correspondence
  • Customer Service
  • Enrollment
  • Financial
  • Medicare Advantage
  • Note Capture
  • Portals
  • Privacy & Security
  • Provider Contracting
  • Provider Reimbursement
  • Reporting, Data Transfer & EDI
  • Sales & Broker
  • System
  • System Search
  • Workers Compensation

Care Management Systems:

  • Analytics & Reporting
  • Appeals & Grievance
  • Correspondence
  • Case/Disease Management
  • Health Risk Assessment
  • Medication Therapy Management
  • Managed Long-Term Care Services & Support
  • Note Capture
  • Personal Health Records
  • Portals
  • Privacy & Security
  • Quality Improvement
  • Reporting, Data Transfer & EDI
  • System
  • System Search
  • Utilization Management


Once these needs are documented and prioritized, the Business Requirements Matrix defines vendor systems with the best fit. Using the results generated by the Business Requirements Matrix, a product review is performed with key administrative personnel, followed by the generation of RFPs and/or RFIs, demonstrations, site visits and the evaluation of outstanding issues in preparation for the final selection of a new system.

FlexTech has streamlined the process of system selection, making thorough assessment very cost-effective. Because we consistently deal with virtually all software vendors, we bring critical insights and third-party objectivity to the process, ensuring the best possible decision-making in a vendor-neutral environment.