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  • Viewpoint
    Sep. 18, 2026

    Payment Integrity (PI) is a key driver for containing medical costs and payment leakage, and is heavily outsourced. In a traditional black-box model, health plans receive findings, savings, reporting, and invoices while the logic, evidence, exceptions,…
  • Viewpoint
    Aug. 28, 2026

    Pre-payment integrity is becoming a strategic priority for health plans, but adoption has progressed more slowly than expected. Most payers already have the core capabilities required to intervene before payment. These include claims-editing tools, clinical and…
  • Viewpoint
    July 29, 2026

    Claims processing remains one of the most essential yet least transformed functions in the healthcare ecosystem. Despite significant investments in automation, analytics, and core administration platforms, most claims continue to move through sequential, batch-oriented workflows that…
  • Viewpoint
    July 08, 2026

    Credentialing remains one of the most fragmented operational functions across the healthcare payer landscape, with providers repeatedly submitting the same information and payers independently verifying identical data. This duplication increases administrative costs, delays provider onboarding, and…
  • 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…
  • PEAK Matrix®
    June 23, 2026

    Healthcare payers are accelerating digital transformation initiatives in response to rising medical loss ratios, increasing interoperability mandates, and growing demand for personalized member engagement. To address these priorities, enterprises are focusing on care management and member…
  • Viewpoint
    June 12, 2026

    Improper payments remain a persistent challenge for health plans despite sustained investment in payment integrity. Many payer organizations still manage pre-pay and post-pay activities as separate functions, limiting their ability to convert recovery insights into earlier…
  • Provider Recognition
    April 07, 2026

    The Everest Group Top 50™ Store Services Providers 2026 report delivers a comprehensive, data-driven analysis of leading providers delivering store services to the retail industry. This report presents an objective ranking of providers based on multiple…
  • Provider Compendium
    March 26, 2026

    Healthcare enterprises are increasingly relying on specialist IT providers to address the growing complexities of healthcare transformation, regulatory compliance, and digital innovation. Payers and providers are under pressure to modernize core systems, improve interoperability, enable digital…
  • Tech Launch Perspective
    Feb. 26, 2026

    Life sciences enterprises are under pressure to accelerate research, improve evidence generation, and operationalize AI across clinical and commercial functions. Fragmented data estates, evolving regulatory requirements, and the growing importance of real-world and genomic data are…
  • State of the Market
    Feb. 25, 2026

    The clinical development technology market transform as life sciences enterprises increasingly rely on digital and AI-enabled solutions to manage rising costs, complex regulatory demands, and longer development cycles. This State of the Market report outlines how…
  • Provider Compendium
    Dec. 18, 2025

    Healthcare organizations are shifting toward unified data platforms to address growing demands for interoperability, real-time insights, and compliance in a digital-first environment. This report explores how healthcare data management platforms are becoming central to achieving these…
  • PEAK Matrix®
    Nov. 25, 2025

    Healthcare enterprises are increasingly relying on specialist IT service providers to navigate the complexities of digital transformation, regulatory shifts, and cost pressures. Mounting financial strains and evolving compliance requirements are compelling payers and providers to modernize…
  • Provider Compendium
    Nov. 25, 2025

    Life sciences enterprises are accelerating their shift to modern digital platforms to meet evolving demands for agility, patient-centricity, and regulatory compliance. Traditional ERP and CRM systems are giving way to cloud-based platforms that enable intelligent, connected…
  • Tech Provider Spotlight
    Nov. 21, 2025

    As macroeconomic challenges such as inflation and tariff volatility persist, Revenue Growth Management (RGM) has become a strategic priority for retail and CPG enterprises seeking sharper execution and sustainable profitability. Once a tactical function, RGM is…
  • PEAK Matrix®
    Nov. 05, 2025

    Healthcare organizations are shifting toward unified data platforms to address growing demands for interoperability, real-time insights, and compliance in a digital-first environment. This report explores how healthcare data management platforms are becoming central to achieving these…
  • Provider Compendium
    Nov. 04, 2025

    The shift toward value-based care, proactive population health management, and quality-linked reimbursement models is rapidly transforming the healthcare industry. Care management platforms have become foundational infrastructure, enabling organizations to manage chronic conditions, close care gaps, enhance…
  • PEAK Matrix®
    Sep. 18, 2025

    Payers are undergoing rapid transformation to meet growing expectations around value-based care, proactive population health management, and quality-linked reimbursement. Care management platforms are emerging as foundational infrastructure, enabling payers to manage chronic conditions, close care gaps,…
  • Tech Provider Spotlight
    Sep. 18, 2025

    Population Health Management (PHM) is a cornerstone of modern healthcare, enabling payers and providers to improve outcomes and reduce costs by proactively managing patient populations. As the burden of chronic disease, aging populations, and health inequities…
  • PEAK Matrix®
    Sep. 01, 2025

    eCOA solutions are transforming clinical trials by enabling accurate, real-time capture of patient, clinician, and caregiver-reported outcomes through smartphones, tablets, web portals, and provisioned devices. These platforms are redefining how clinical trials capture participant-reported data by…

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