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Blog April 28, 2026
Tech services are rewiring for an AI-first era: Exela-XBP is the latest signal
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
From Labor to Intelligence: Rewire Healthcare Payer Operations for a Tech-First Era
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 Payer Intelligent Operations PEAK Matrix® Assessment 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… -
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…
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State of the Market Oct. 31, 2025
Navigating Uncertainty and Unlocking Innovation: Clinical and Care Management State of the Market 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… -
LinkedIn Live July 24, 2025
Skilling for Scale: How GCCs are Building the Workforce of Tomorrow, Today
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… -
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…
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Viewpoint June 27, 2025
The Health Plan Renaissance: How Next-generation BPaaS is Ushering a New Era of Efficiency
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… -
Clinical Operations View the full Report
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Outsourcing View the full Report
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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…
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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.…
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Viewpoint May 28, 2025
Clinical Operations of the Future: Unlocking Value "Thoughtful" Outsourcing
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
Realizing the Promise of Tech-Enabled, AI-Driven Revenue Cycle Management (RCM): Outsourcing in the New Era
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… -
Healthcare Payer BPS View the Full Report
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Feb. 19, 2025
Skyrocketing Growth in Medicare Advantage Enrollment is a Rising Opportunity | Market Insights™
Medicare Advantage View the Full Report -
PEAK Matrix® Feb. 14, 2025
Revenue Cycle Management (RCM) Platforms PEAK Matrix® Assessment 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… -
LinkedIn Live Feb. 13, 2025
Mapping the Next 2025: The APAC Playbook for IT-BP Success
Watch On LinkedIn Step into the future in this insightful LinkedIn Live with Everest Group experts Hrishi Raj Agarwalla, Vice President, and Ashish Sehdev, Vice President. Join this virtual session as they decode the market shifts… -
Thematic Report Feb. 12, 2025
The Healthcare Payer Market: Trends to Watch and Opportunities to Capture in 2025
The healthcare payer market is poised for significant shifts in 2025, driven by growing Medicare Advantage enrollments, rising medical loss ratios, and evolving regulatory frameworks. Payers are facing increasing financial and operational pressures, requiring a strategic… -
The nasscom GCC Conclave 2025 nominations period is nearly here! Opening on Feb 4, 2025, the nominations will open for GCC leaders to put their businesses forward for recognition. Supported by Strategic Partner Everest Group, the…
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