All Reports Events Blogs Videos
Showing 16 results
  • Provider Compendium
    Oct. 07, 2026

    Pre-payment integrity is gaining momentum as health plans look to shift left with payment accuracy activities, moving from retrospective recovery toward earlier intervention before claims are paid. Rising medical costs, provider abrasion from post-pay recoveries, and…
  • Viewpoint
    Oct. 05, 2026

    Epic is pursuing a differentiated route into the payer technology market. Instead of beginning with core-platform replacement, it is using its position within provider workflows to expand into payer-provider data exchange, prior authorization, care and utilization…
  • See Us At
    Aug. 28, 2026

    Join Ankur Verma, Vice President, and Suyash Choudhary, Practice Director, at Everest Group to explore how health plans are evolving their pre-pay payment integrity strategies amid rising medical costs, expanding vendor ecosystems, and rapid advances in…
  • 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 25, 2026

    Enterprise operations are reaching an inflection point as continuous disruptions, AI acceleration, regulatory complexities, geopolitical volatility, process fragmentation, and rising customer expectations expose the limitations of traditional operating models. Historically, operational excellence centered on efficiency, quality…
  • 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…
  • 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,…
  • PEAK Matrix®
    April 10, 2026

    Healthcare payers and providers are operating under sustained pressure from fragmented engagement ecosystems, rising consumer expectations, and intensifying regulatory and quality mandates. Disconnected clinical, administrative, and customer interaction systems continue to limit end-to-end visibility across member…
  • 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…
  • See Us At
    Dec. 09, 2025

    Join Ankur Verma, a Vice President at Everest Group, for a session on reimagining healthcare credentialing. Learn how automation, AI, and shared multi-payer models can streamline verification, reduce costs, enhance accuracy, and build long-term operational resilience.…
  • PEAK Matrix®
    Aug. 26, 2025

    The Clinical and Care Management (CCM) operations market is rapidly transforming as payers and providers face mounting pressures from rising care complexity, workforce constraints, and financial risk exposure. Fragmented data systems, coupled with growing regulatory demands,…
  • Event
    July 08, 2025

    Everest Group invites you to a dynamic, practitioner-only virtual roundtable designed for business, sourcing, and VMO leaders from healthcare payers, providers, and life sciences organizations. The conversation will explore how enterprises are responding to intensifying regulatory…
  • Viewpoint
    July 16, 2021

    This viewpoint examines the cloud transformation journey for healthcare enterprises to operate more efficiently and resiliently. With increasing interest in a connected healthcare ecosystem and enterprise digitalization following the pandemic, cloud transformation has gained substantial traction…
  • Viewpoint
    Aug. 23, 2019

    The advent of Robotic Process Automation (RPA) helped enterprises automate documents with structured data sources; however, content-centric documents – accounting for almost 80-85% of enterprise document load – cannot be automated using conventional rules-based solutions. Consequently,…