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  • Provider Compendium
    June 26, 2026

    Healthcare payers are operating in an increasingly complex environment shaped by volatile medical costs, constrained premium growth, evolving regulatory requirements, fragmented legacy systems, and continued workforce constraints. These pressures are pushing health plans to move beyond…
  • Viewpoint
    June 16, 2026

    Healthcare payer operations are reaching a key inflection point as demographic shifts, chronic disease growth, regulatory requirements, margin pressures, workforce shortages, and rising member expectations expose the limitations of fragmented operating models. Simultaneously, internal constraints such…
  • Tech Provider Spotlight
    June 12, 2026

    Healthcare payer risk and quality management is shifting from fragmented, retrospective, and manual workflows to integrated, evidence-led operating models. Payers are under pressure to improve risk capture, strengthen Healthcare Effectiveness Data and Information Set (HEDIS) and…
  • Viewpoint
    June 02, 2026

    Healthcare payers are under pressure to modernize operations as margin compression, high medical loss ratios, regulatory mandates, cybersecurity exposure, and rising member expectations expose the limits of legacy operating models. Traditional Business-Process-as-a-Service (BPaaS) models have helped…
  • Blog
    April 28, 2026

    The marketplace is changing. Two marquee moves in July reset expectations for how large service providers will deliver operations at scale: Capgemini agreed to acquire WNS to build an agentic‑Artificial Intelligence (AI) powered intelligent operations leader,…
  • Webinar
    April 07, 2026

    Across the globe in CX delivery, a new reality is emerging as geopolitical instability, regulatory shifts, and trade disruptions challenge long-standing operating models. Traditionally optimized for cost and efficiency, CX footprints must now be reassessed through…
  • Thematic Report
    March 30, 2026

    This Customer Experience Management (CXM) key priorities research is based on an annual survey that captures enterprise sentiment and key trends shaping the global sourcing industry. Entering 2026 with improved confidence in business performance, enterprises continue…
  • LinkedIn Live
    Feb. 24, 2026

    Payer operations were reaching a structural inflection point. As cost pressure, regulatory scrutiny, and AI-enabled operating models reshaped the landscape, payer leaders had to rethink how sourcing and operating design delivered measurable business outcomes. In this…
  • PEAK Matrix®
    Feb. 19, 2026

    Healthcare payers are navigating volatile medical costs, limited premium growth, and fragmented legacy systems. At the same time, regulatory and quality requirements are intensifying, with the Centers for Medicare and Medicaid Services (CMS) advancing interoperability and…
  • Blog
    Nov. 18, 2025

    The next chapter of payer operations   The US healthcare landscape is grappling with rising costs, regulatory pressure, and eroding trust. Major payers such as UnitedHealth Group, Elevance, Humana, and CVS Health are reporting medical loss ratios (MLRs) near 88-90%, squeezing margins…
  • Provider Compendium
    Nov. 03, 2025

    Customer Experience Management (CXM) is entering a new evolutionary phase – one defined by AI-native execution. This report explores how leading providers are responding to a rapidly shifting market where intelligent systems can not only predict…
  • Thematic Report
    Oct. 31, 2025

    Traditionally seen as transactional and compliance-driven, collections are now evolving into a strategic Customer Experience Management (CXM) function that balances debt recovery with Customer Experiences (CXs). As rising delinquency rates, economic uncertainties, and regulatory scrutiny reshape…
  • State of the Market
    Oct. 31, 2025

    Clinical and Care Management (CCM) is becoming a strategic priority for healthcare enterprises, driven by the need to improve outcomes, contain costs, and comply with intensifying regulatory demands. Once seen primarily as a cost-control function, CCM…
  • Thematic Report
    Oct. 31, 2025

    As Customer Experience (CX) becomes a strategic priority across industries, Global System Integrators (GSIs) are emerging as key partners driving enterprise-wide CX transformation. This report explores how GSIs are evolving from technology implementers to strategic orchestrators…
  • Webinar Deck
    Sep. 23, 2025

    As economic headwinds, such as increasing delinquencies, rising inflation, and shifting consumer behavior, force businesses to move beyond reactive collections, “Collections 2.0” emerges as a revolutionary collections model. This webinar, led by Everest Group experts Aishwarya Barjatya,…
  • PEAK Matrix®
    Sep. 16, 2025

    The global CXM services market is advancing significantly across the Americas, APAC, and EMEA, towards AI-native execution, driven by agentic AI and generative AI moving into production. Enterprises are increasingly investing in intelligent systems, particularly those…
  • Event
    Sep. 16, 2025

    As economic headwinds, such as increasing delinquencies, rising inflation, and shifting consumer behavior, force businesses to move beyond reactive collections, “Collections 2.0” emerges as a revolutionary collections model. This webinar, led by Everest Group experts Aishwarya Barjatya,…
  • LinkedIn Live
    July 24, 2025

    Watch on LinkedIn Global Capability Centers (GCCs) in India rapidly evolved from cost-efficient service hubs to strategic centers of innovation, product development, and digital transformation for global enterprises. As this evolution accelerated, talent development became a…
  • July 23, 2025

    What happened: The big picture behind the One Big Beautiful Bill Act The One Big Beautiful Bill Act (OBBBA) delivers sweeping fiscal reforms aimed at reducing federal healthcare spending, most notably through a US $1 trillion…
  • Viewpoint
    June 27, 2025

    US health insurance carriers face escalating pressures, from soaring costs and workforce shortages to rising member expectations and complex compliance demands. In this environment, traditional administrative processes and outdated systems are proving inadequate. To address these…

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