One of the tools I was trying out recently was Articulate. Articulate Presenter, like Brainvisa'sRapidel Enhance builds on the user's knowledge of Microsoft Office, by integrating with MS Powerpoint as an Add-in. Of course you rely on Presenter to provide you with various layouts and use your skill in creating Powerpoint presentations to convert these into Powerpoint, but when it comes to SCORM quizzes and various interactions, you have to rely on the other parts of the bundle - Articulate Quizmaker and Articulate Engage. Articulate Engage is nowhere near a complete interactivity builder such as Raptivity, but is flexible to be able to use flash interactions from other such tools.
Quiz maker steps in, to be the SCORM quiz generator and also helps you generate SCORM compatible surveys (which is a bit of redundant functionality, considering you can easily do this through Moodle). Its a little bit of a concern for firms though, to think that:
a) each of these tools is so bloody expensive (Articulate Studio costs $ 1398, Rapidel - $1999 and Elicitus+Raptivity - $1250)
b) that none of these tools can satisfy ALL of your elearning content creation needs. If you're looking a rapid elearning, then at some point of time or the other, you'd need to use a combination of two or more such tools
Its also a bit of a concern to me that there arent too many Open Source tools in this space, and exelearning, the only OSS tool is really not mature enough to be able to step up to a medium/ large enterprise's needs. In years to come, it'd be nice to see a high quality rapid content authoring tool that comes up in the OSS space, to be able to couple with an LMS like Moodle or Sakai.