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  • See Us At
    July 22, 2026

    Join Ankur Verma, Vice President at Everest Group, to explore how health plans can keep pace with rapidly evolving coding, policy, and claims complexity. Discover how AI and agentic technologies are transforming edit strategies to improve…
  • Blog
    July 21, 2026

    Current state of cryptography in BFSI  Banks, insurers, and capital markets enterprises have been using cryptography for a long time across every important part of their business. It protects everything from mobile payments to complex trading platforms and third-party connections.  …
  • PEAK Matrix®
    July 01, 2026

    Healthcare payers are under growing pressure to control avoidable spend as medical cost trends, payment leakage, FWA exposure, and provider abrasion make retrospective recovery increasingly difficult to sustain. As a result, pre-payment integrity is gaining momentum…
  • 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…
  • 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
    April 29, 2026

    Healthcare payers and providers are under increasing pressure to improve member and patient trust, reduce administrative friction, enhance Star Ratings and retention. While investments in AI, automation, analytics, cloud-native contact centers, and digital channels have accelerated,…
  • 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.…
  • Market Insights™
    Nov. 05, 2025

  • Market Insights™
    Nov. 05, 2025

  • Tech Provider Spotlight
    Sep. 30, 2025

    The Payment Integrity (PI) market is structurally resetting. Payers are moving from retrospective audits to preventive, pre-payment validation using AI, predictive analytics, and automation to detect anomalies early, improve coding accuracy, and reduce provider abrasion. This…
  • 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,…
  • July 14, 2025

    In June 2025, more than 50 major U.S. healthcare insurers, including UnitedHealthcare, Aetna, Cigna, Humana, Kaiser Permanente, and multiple Blue Cross Blue Shield plans, formally committed to streamlining the country’s Prior Authorization (PA) processes.Collectively, these insurers…
  • 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…
  • Provider Compendium
    June 30, 2025

    The payment integrity market is shifting from post-payment recovery to a proactive focus on pre-payment accuracy, aiming to reduce costs and improve efficiencies. AI is enhancing fraud detection, real-time claims validation, and predictive risk modeling. Simultaneously,…
  • Event
    May 27, 2025

    Inclusive and sustainable sourcing is quickly becoming a business must-have – especially in global markets like the UK, EU, and Asia-Pacific, where enterprises face growing pressure to show progress on ESG goals. Organizations are also seeking…

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