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  • 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,…
  • 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…
  • Provider Compendium
    Dec. 30, 2025

    The insurance industry is transforming Customer Experiences (CXs) as organizations prioritize digital agility, cost efficiency, and operational resilience. Insurers are rapidly evolving from traditional, siloed operations toward AI-driven, omnichannel journeys supported by cloud modernization and real-time…
  • 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…
  • 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…
  • Thematic Report
    Nov. 03, 2025

    Enterprises are increasingly turning to Order Management System (OMS) platforms to manage rising omnichannel commerce complexities. This report explores how modern OMS solutions have evolved from transactional tools into strategic orchestration engines, enabling enterprises to handle…
  • 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…
  • Provider Compendium
    Oct. 24, 2025

    Everest Group’s Procure-to-Pay (P2P) Products – Provider Compendium 2025 provides comprehensive and fact-based snapshots of nine P2P products and includes insights on the global P2P products market. It examines each product’s features, enhancements, and market adoption…
  • 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…
  • June 11, 2025

    Clinical Operations View the full Report
  • June 11, 2025

    Outsourcing View the full Report
  • June 05, 2025

    Imagine a healthcare organization’s credentialing process as a boat sailing smoothly on calm waters – predictable, routine, and manageable. Now picture this: it’s July 2025, and a wave of new regulations from the National Committee for…
  • Blog
    June 02, 2025

    An Overview of the Executive Order What the executive order includes On May 12th, 2025, US President Donald Trump signed an executive order targeting prescription drug prices as part of a broader effort to combat inflation.…
  • Viewpoint
    May 28, 2025

    US healthcare organizations face operational challenges, including rising chronic disease prevalence, workforce shortages, and growing administrative complexity. In this environment, legacy operating models are proving insufficient, prompting healthcare enterprises to reconsider their long-held hesitancy toward clinical…
  • Viewpoint
    March 06, 2025

    The evolving landscape of Revenue Cycle Management (RCM) highlights how AI, automation, and outsourcing are transforming financial and operational efficiencies for healthcare providers. Despite persistent challenges such as billing complexities and staffing shortages, healthcare leaders are…
  • Feb. 19, 2025

    Healthcare Payer BPS View the Full Report
  • Feb. 19, 2025

    Medicare Advantage View the Full Report
  • PEAK Matrix®
    Feb. 14, 2025

    In recent years, technology enterprise adoption and digitalization have significantly reshaped Revenue Cycle Management (RCM), transforming how healthcare providers optimize financial performance and patient engagement. To enhance provider reimbursements, streamline claims processing, and accelerate value-based care…

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