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Thematic Report May 18, 2026
The Rise of Mid-market Human Capital Management (HCM): What is Driving the Shift?
Mid-market enterprises are increasingly emerging as a strategic growth segment within the Human Capital Management (HCM) landscape as organizations scale operations, formalize HR processes, and modernize workforce management practices. These enterprises are seeking cloud-based platforms that… -
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… -
Blog Nov. 18, 2025
The evolution of BPS: Why payer operations are becoming intelligent by design | Blog
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… -
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… -
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 July 22, 2025
Productization of Consulting in the Age of Gen AI: An Asset-led Playbook for Providers Competingin the AI Era
The rise of Systems of Execution (SoE) marks a profound evolution in enterprise technology and consulting models. Unlike legacy systems of record and engagement, SoE combine structured data and user signals to autonomously sense, decide, and… -
Viewpoint July 17, 2025
Gen AI in Consulting: Transforming Service Delivery and Unlocking New Opportunities
This report explores the seismic shift unfolding in the consulting landscape as generative AI advances from experimental novelty to core service enabler. In the face of rising client expectations for faster insights, hyper-personalized recommendations, and outcome-based… -
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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Viewpoint June 10, 2025
Systems of Execution and the Consulting Opportunity: Redefining Enterprise Transformation in the Age of Autonomous Execution
The age of Systems of Execution (SoE) is upon us, where intelligent, autonomous platforms do not just inform decisions but act on them in real time. This shift is rendering traditional systems and static consulting models… -
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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Blog June 02, 2025
The Cost-control Countdown: How 30 Days Could Redefine US Drug Pricing
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.… -
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…
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