• 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…
  • 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…
  • 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. 27, 2025

    The Loyalty Platform – Provider Compendium 2025 provides detailed and fact-based snapshots of 12 loyalty platform providers. Each profile offers a structured overview of the provider’s product and capability focus areas, including platform suite and deployment…
  • Provider Compendium
    Oct. 24, 2025

    The Property and Casualty (P&C) insurance industry is rapidly transforming, driven by volatile market conditions, cost pressures, and increasing operational complexities. As insurers strive for profitable growth and agility, they are reconfiguring core operations and sourcing…
  • Provider Compendium
    Sep. 16, 2025

    Pharmacovigilance (PV) operations have become a strategic priority for life sciences enterprises facing heightened regulatory scrutiny, evolving safety standards, and growing complexity across global markets. This report provides an in-depth assessment of 12 leading PV service…
  • 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…
  • Provider Compendium
    Feb. 20, 2025

    Enterprises are increasingly recognizing their data ecosystem gaps as they strive to fully harness generative AI’s potential. Consequently, they are prioritizing AI-ready data ecosystems, emphasizing robust data management and governance. When scaling their AI initiatives, they…
  • Feb. 19, 2025

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

    Medicare Advantage View the Full Report

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