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  • 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 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
    June 02, 2026

    Healthcare payers are under pressure to modernize operations as margin compression, high medical loss ratios, regulatory mandates, cybersecurity exposure, and rising member expectations expose the limits of legacy operating models. Traditional Business-Process-as-a-Service (BPaaS) models have helped…
  • 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,…
  • State of the Market
    April 09, 2026

    Enterprises are increasingly moving beyond fragmented automation deployments toward unified platforms that enable enterprise-wide transformation. Intelligent Process Automation Platforms (IPAP) integrate rules-based automation, AI-driven technologies such as IDP, generative AI, and agentic AI, along with orchestration…
  • Tech Provider Spotlight
    March 09, 2026

    Enterprises are reassessing traditional process automation approaches as business processes become increasingly non-linear and data-intensive. While deterministic, rule-based process orchestration platforms have delivered measurable gains in efficiency and standardization, they remain constrained in environments characterized by…
  • LinkedIn Live
    Feb. 24, 2026

    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 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…
  • Provider Compendium
    Jan. 08, 2026

    Process orchestration solutions are becoming central to enterprise automation and digital operations strategies. These products support the design and execution of long-running, multi-actor workflows and integrate human and digital workers with enterprise systems. As organizations increasingly…
  • Blog
    Nov. 18, 2025

    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…
  • PEAK Matrix®
    Nov. 12, 2025

    As enterprises navigate macroeconomic uncertainties, rapid technological advances, and growing business agility demands, the need for a unified backbone to connect end-to-end processes has never been greater. Process orchestration fundamentally enables this shift, helping organizations manage…
  • State of the Market
    Nov. 11, 2025

    Everest Group defines Digital Interaction Intelligence (DII) as an analytics product that offers a fact-based, technology-driven approach to understanding user interactions on various applications, particularly business applications. It captures user actions and metadata from multiple desktops…
  • State of the Market
    Oct. 31, 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…
  • Provider Compendium
    Oct. 15, 2025

    Digital Interaction Intelligence (DII) products are rapidly emerging as a core enabler in enterprise automation and transformation strategies. DII solutions adopt a user-centric lens to analyze digital activity, delivering more granular insights into how work actually…
  • PEAK Matrix®
    Aug. 04, 2025

    The Digital Interaction Intelligence (DII) market is gaining momentum as enterprises seek granular insights into user behavior and task execution across desktop environments. DII solutions capture metadata, such as keystrokes and clicks, to create digital interaction…
  • LinkedIn Live
    July 24, 2025

    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…
  • July 23, 2025

    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…
  • Viewpoint
    June 27, 2025

    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…
  • June 11, 2025

    Clinical Operations View the full Report

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