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  • Blog
    June 02, 2025

    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

    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

    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…
  • Feb. 19, 2025

    Healthcare Payer BPS View the Full Report
  • Feb. 19, 2025

    Medicare Advantage View the Full Report
  • PEAK Matrix®
    Feb. 14, 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…
  • Thematic Report
    Feb. 12, 2025

    The healthcare payer market is poised for significant shifts in 2025, driven by growing Medicare Advantage enrollments, rising medical loss ratios, and evolving regulatory frameworks. Payers are facing increasing financial and operational pressures, requiring a strategic…
  • Provider Compendium
    Dec. 16, 2024

    The healthcare payer outsourcing market is rapidly evolving as payers strive to enhance efficiency, control costs, meet member expectations, and navigate complex regulations. With a growing focus on member-centricity and streamlined core administrative processes, Business Process…
  • LinkedIn Live
    Nov. 06, 2024

    Is Business Process as a Service (BPaaS) the next frontier in healthcare payer outsourcing transformations? The urgent need for integrated operations for healthcare payers is skyrocketing , with rising costs and ever-more complex regulatory requirements leading…
  • PEAK Matrix®
    Sep. 26, 2024

    The healthcare payer outsourcing market is rapidly evolving, driven by healthcare payers' need to enhance efficiency, manage costs, meet member expectations, and navigate complex regulations. As the industry shifts toward member-centricity and robust core administrative processes,…
  • Viewpoint
    May 02, 2024

    The healthcare industry is transforming rapidly, driven by rising costs, stricter regulations, and a growing emphasis on member experience. This pressure highlights the need for healthcare payers to improve efficiency and effectiveness, especially in light of…
  • Viewpoint
    March 15, 2024

    Healthcare payers have long prioritized member experience, investing significantly to improve customer satisfaction. However, their approach has often been incremental, rather than transformative, leading to a notable gap between customer expectations and the actual experience provided.…
  • Provider Compendium
    Sep. 26, 2023

    Healthcare Payer Operations Provider Compendium provides accurate, comprehensive, and fact-based snapshots of 29 service providers, including their scale of operations, company overview, recent developments, key delivery locations, major clients, technological solutions, and Everest Group’s PEAK Matrix®…
  • PEAK Matrix®
    June 23, 2023

    The healthcare industry constantly evolves, requiring organizations to continuously adapt and enhance their capabilities to stay competitive. The shift toward value-based care has presented various opportunities such as telehealth, population data analytics, remote patient monitoring, commercial…
  • Blog
    May 11, 2023

    To combat a looming recession, healthcare providers will need to take strategic action, including cutting costs, investing in patient experience, embracing digital technologies, and strengthening outsourcing partnerships. Read on to learn about the healthcare provider trends…
  • Market Insights™
    March 17, 2023

  • Market Insights™
    March 16, 2023

  • Market Insights™
    March 16, 2023

  • Blog
    March 13, 2023

    A looming global recession may finally take its toll on payers who have escaped prior economic challenges. Let’s take a look at the healthcare trends influencing decision-making by payers, the markets most likely to be affected,…
  • Thematic Report
    Feb. 17, 2023

    Pharmaceutical enterprises and Clinical Research Organizations (CROs) are transforming their traditional engagement models to align with evolving business needs. Cost, scale, and operational efficiency are no longer the primary factors in sourcing decisions as pharmaceutical companies…

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