Clinical and Care Management (CCM) Operations PEAK Matrix® Assessment 2025

The Clinical and Care Management (CCM) operations market is rapidly transforming as payers and providers face mounting pressures from rising care complexity, workforce constraints, and financial risk exposure. Fragmented data systems, coupled with growing regulatory demands, are further amplifying the need for modernized operations that can improve care quality while ensuring compliance and cost efficiency. In this evolving environment, enterprises are increasingly turning to specialized CCM partners that combine deep clinical expertise with next-generation technology.

As value-based care adoption accelerates, buyers demand solutions that embed predictive risk modeling, generative AI, and intelligent automation into proven workflows to elevate patient outcomes and optimize clinician productivity. Providers are responding with domain-focused investments, modular platforms, and outcome-linked delivery models that balance efficiency with high-quality care coordination.

In this report, Everest Group assesses 20 leading CCM operations providers featured on the Clinical and Care Management (CCM) Operations PEAK Matrix® Assessment 2025. The analysis compares providers against one another and evaluates their strengths, limitations, and differentiating capabilities. This study will enable payers and providers to identify the right partners to modernize CCM operations, drive value-based outcomes, and advance enterprise transformation initiatives.