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  • NEW
    Viewpoint
    July 29, 2026

    Claims processing remains one of the most essential yet least transformed functions in the healthcare ecosystem. Despite significant investments in automation, analytics, and core administration platforms, most claims continue to move through sequential, batch-oriented workflows that…
  • FEATURED
    Viewpoint
    July 20, 2026

    Healthcare organizations are increasing AI investments to improve operational efficiency, reduce costs, and enhance patient and member experiences. Despite strong momentum, many AI initiatives continue to struggle to deliver enterprise-wide value because fragmented data, inconsistent governance,…
  • Blog
    July 08, 2026

    Artificial Intelligence (AI) is having its moment. After years of cautious skepticism, pilot-stage overhang, and boardroom debates, the conversation has moved beyond experimentation. Enterprises are no longer asking whether to deploy agents, they are now asking how fast they can scale them across their entire workflow estate. However, speed comes at a price and almost nobody is doing the math.   The warning signs…
  • Viewpoint
    July 08, 2026

    Credentialing remains one of the most fragmented operational functions across the healthcare payer landscape, with providers repeatedly submitting the same information and payers independently verifying identical data. This duplication increases administrative costs, delays provider onboarding, and…
  • PEAK Matrix®
    June 23, 2026

    Healthcare payers are accelerating digital transformation initiatives in response to rising medical loss ratios, increasing interoperability mandates, and growing demand for personalized member engagement. To address these priorities, enterprises are focusing on care management and member…
  • 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…
  • Roundtable
    April 16, 2026

    Following our GBS Operating Model FutureCast workshop, Everest Group is convening a select group of GBS leaders for an interactive working session on Thursday, May 07, to pressure test emerging perspectives on reimagining the operating model in the age of agentic AI.  …
  • Blog
    April 13, 2026

    Infosys’ announcement to acquire Optimum Healthcare IT for up to US$465 million marks a meaningful step toward strengthening its relevance in the healthcare provider market. At the heart of this deal lies a defining advantage, access…
  • Roundtable
    March 31, 2026

    Following our GBS Operating Model FutureCast workshop, Everest Group is convening a select group of GBS leaders for an interactive working session on Tuesday, April 14, to pressure test emerging perspectives on reimagining the operating model in the age of agentic AI.  …
  • Provider Compendium
    March 26, 2026

    Healthcare enterprises are increasingly relying on specialist IT providers to address the growing complexities of healthcare transformation, regulatory compliance, and digital innovation. Payers and providers are under pressure to modernize core systems, improve interoperability, enable digital…
  • Viewpoint
    March 17, 2026

    Healthcare enterprises face mounting pressure to improve Star/HEDIS performance, reduce Medical Loss Ratios (MLR), lower avoidable utilization, and enhance operational efficiency. Although digital tools and program expansion have increased over the past decade, most care management…
  • Provider Compendium
    Dec. 30, 2025

    Enterprises are repositioning quality from a downstream testing activity to a strategic engineering capability embedded across the software development life cycle. As digital, cloud, and AI initiatives scale, expectations are moving beyond defect identification toward resilience,…
  • Provider Compendium
    Dec. 18, 2025

    Healthcare organizations are shifting toward unified data platforms to address growing demands for interoperability, real-time insights, and compliance in a digital-first environment. This report explores how healthcare data management platforms are becoming central to achieving these…
  • PEAK Matrix®
    Nov. 25, 2025

    Healthcare enterprises are increasingly relying on specialist IT service providers to navigate the complexities of digital transformation, regulatory shifts, and cost pressures. Mounting financial strains and evolving compliance requirements are compelling payers and providers to modernize…
  • LinkedIn Live
    Nov. 19, 2025

    In an evolving landscape where analyst relations (AR) shape market perception and business success, leaders continued to look for proven tactics embraced by experienced AR professionals. Everest Group’s Katrina Menzigian, along with industry experts from other…
  • PEAK Matrix®
    Nov. 13, 2025

    Enterprises are elevating quality from a downstream test phase to a strategic engineering discipline woven through the software development life cycle. As digital, cloud, and AI programs scale, expectations shift from defect detection to resilience, velocity,…
  • Viewpoint
    Nov. 10, 2025

    As enterprises accelerate digital transformation and embrace next-generation technologies such as AI, generative AI, and cloud-native platforms, managing quality at scale has become increasingly complex. Traditional tool-centric quality approaches fall short in addressing fragmented processes, inconsistent…
  • PEAK Matrix®
    Nov. 05, 2025

    Healthcare organizations are shifting toward unified data platforms to address growing demands for interoperability, real-time insights, and compliance in a digital-first environment. This report explores how healthcare data management platforms are becoming central to achieving these…
  • Blog
    Nov. 05, 2025

    In 2006, I visited my first captive center in Bengaluru. At the time, the model was still in its formative years – many multinational organizations were only beginning to explore the potential of setting up their own in-house centers…
  • Provider Compendium
    Nov. 04, 2025

    The shift toward value-based care, proactive population health management, and quality-linked reimbursement models is rapidly transforming the healthcare industry. Care management platforms have become foundational infrastructure, enabling organizations to manage chronic conditions, close care gaps, enhance…

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