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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,…
  • 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.  …
  • 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.  …
  • 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…
  • Webinar Deck
    Nov. 21, 2025

    Leaders must strive to maintain operational continuity while driving profitable growth in an increasingly constrained global environment. Pressures around resource scarcity, rising energy demands, and shifting societal expectations are reshaping the very economics of doing business,…
  • 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…
  • Mega Forces
    Nov. 07, 2025

    With increasing complexities and rapid transformation across industries, business leaders must become adept at anticipating long-term, disruptive shifts to navigate an uncertain future confidently. Our Mega Forces framework – comprising themes including business models and value…
  • 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…
  • Mega Forces
    Nov. 03, 2025

    With increasing complexities and rapid transformation across industries, business leaders must become adept at anticipating long-term, disruptive shifts to navigate an uncertain future confidently. Our Mega Forces framework – comprising themes including business models and value…
  • 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…
  • Webinar
    Oct. 31, 2025

    Leaders must strive to maintain operational continuity while driving profitable growth in an increasingly constrained global environment. Pressures around resource scarcity, rising energy demands, and shifting societal expectations are reshaping the very economics of doing business,…
  • Mega Forces
    Aug. 29, 2025

    With increasing complexities and rapid transformation across industries, business leaders must become adept at anticipating long-term, disruptive shifts to navigate an uncertain future confidently. Our Mega Forces framework – comprising themes including business models and value…
  • LinkedIn Live
    Aug. 20, 2025

    By 2040, most of today’s corporate giants were projected to no longer exist. Why? Because the combined force of AI disruption, value chain disintermediation, economic volatility, and shifting consumer expectations had already begun reshaping the business…
  • Video
    Aug. 18, 2025

    Electricity powers just 17% of global energy use today – and even by 2050, it’s expected to reach only 30%. The challenge? Electrifying hard-to-abate industries like aviation, long-haul freight, and industrial heating. From retrofitting heavy equipment…
  • Aug. 04, 2025

    As customer expectations shift and uncertainty rises, enterprises are reimagining how they forecast demand and deliver products. Traditional forecasting and static supply chains are no longer enough. Manufacturing leaders are pioneering new approaches with AI-driven supply…

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