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  • 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…
  • Webinar Deck
    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…
  • May 19, 2025

    Discover how PeopleShores is transforming lives through impact sourcing by bringing meaningful digital jobs to underserved communities in the US. In this video, hear firsthand how their model empowers individuals, fuels local economies, and helps organizations…
  • LinkedIn Live
    May 14, 2025

    As the healthcare landscape continued to evolve, the payment integrity market experienced a dynamic transformation. ️ In this thought-provoking LinkedIn Live session, we explored the shifting dynamics of payment integrity —from the growing preference for pre-payment…
  • May 12, 2025

    Introduction: The evolving landscapeArtificial Intelligence (AI) is revolutionizing industries, and Private Equity (PE) firms are rapidly adapting to harness its benefits. With record-breaking fundraising and considerable dry powder providing a strong capital base, PE firms are…
  • May 12, 2025

    In today’s complex U.S. healthcare landscape, one thing is clear: payment integrity is no longer just a compliance function, it’s a strategic priority. With rising costs, rampant fraud, and billions lost to inefficiencies, health plans are now…
  • April 29, 2025

    How tariff announcements could reshape the US healthcare payer industry As trade policies evolve and tariffs on imports tighten, ripple effects are being felt across many sectors, including the US healthcare payer industry. While the immediate…
  • PEAK Matrix®
    April 03, 2025

    The payment integrity market is strategically shifting from post-payment recovery to proactive pre-payment accuracy, thereby reducing costs and enhancing efficiency. AI-driven tools are advancing fraud detection, real-time claims validation, and predictive risk modeling, while next-generation technologies,…
  • PEAK Matrix®
    March 06, 2025

    The Utilization Management (UM) healthcare market faces challenges such as administrative burdens in prior authorization and inconsistent clinical criteria, causing delays and inefficiencies. To overcome these issues, payers are partnering with specialized UM service providers, integrating…
  • Feb. 19, 2025

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

    Medicare Advantage View the Full Report
  • Feb. 14, 2025

    With political shifts on the horizon, enterprises are questioning whether the focus on sustainability and impact sourcing will decline in 2025. While there may be some impact, these topics will continue to be a priority for…
  • 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…
  • Feb. 07, 2025

    The healthcare outsourcing landscape is evolving rapidly as financial pressures, technological advancements, and regulatory shifts drive payers and providers to rethink their operations.   The outsourcing market is far from immune to these trends, and leading service…
  • Feb. 07, 2025

    Chess has seen a remarkable rise in popularity, reaching a milestone on February 1, 2025, when Chess.com surpassed 200 million members, showcasing its growing global influence. This growing interest in the game has not only fostered…
  • 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…
  • Market Insights™
    Oct. 28, 2024

  • Blog
    Oct. 17, 2024

    The healthcare payment integrity market is undergoing a significant transformation… In an industry rife with administrative inefficiencies, payment errors, and mounting financial pressures, a recent merger between The Rawlings Group, Apixio’s payment integrity business, and Varis, facilitated…
  • Viewpoint
    Oct. 08, 2024

    The payment integrity sector is transforming as the healthcare industry seeks to enhance payment process accuracy and efficiency. With rising financial pressures, the demand for effective payment integrity solutions has intensified, prompting stakeholders to explore innovative…

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