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Showing 21 results
  • PEAK Matrix®
    April 10, 2026

    Healthcare payers and providers are operating under sustained pressure from fragmented engagement ecosystems, rising consumer expectations, and intensifying regulatory and quality mandates. Disconnected clinical, administrative, and customer interaction systems continue to limit end-to-end visibility across member…
  • 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
    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…
  • 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,…
  • 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…
  • 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…
  • Provider Compendium
    Jan. 04, 2023

    Everest Group’s Healthcare Customer Experience Management (CXM) Services in North America – Service Provider Compendium provides comprehensive and fact-based snapshots of 19 CXM service providers and includes insights on the healthcare CXM service provider landscape in…
  • Provider Compendium
    March 30, 2022

    Healthcare Payer Operations – Service Provider Compendium provides accurate, comprehensive, and fact-based snapshots of 32 service providers, including their scale of operations, technology solutions, and delivery locations, along with Everest Group’s PEAK Matrix® service provider assessment.…
  • PEAK Matrix®
    Feb. 17, 2022

    Healthcare is among the fastest changing and most dynamic of business sectors, making it vital for organizations in the field to constantly evolve and build on their foundational capabilities. The global pandemic has brought into the…
  • Provider Compendium
    July 31, 2020

    The Healthcare Payer Operations – Service Provider Compendium provides accurate, comprehensive, and fact-based snapshots of 29 healthcare payer operations service providers. In it, we present the providers’ scale of operations, technology solutions, and delivery locations, along…
  • PEAK Matrix®
    June 09, 2020

    Consumerism, the rise of digital, margin pressures, regulatory uncertainty, and value-based care are increasingly pushing healthcare payers to rethink their business models. Many payers – especially larger ones with multi-state presence – are strengthening their market…
  • Thematic Report
    June 25, 2019

    The healthcare payer BPO service provider profile compendium provides accurate, comprehensive, and fact-based profile snapshots of 27 service providers in the market. Specifically, the report allows for comparison of the service providers on their areas of…
  • PEAK Matrix®
    April 17, 2019

    With multiple M&As and partnerships being announced, healthcare payers have had a busy last couple of years. Quest for consolidation across the value chain has led payers to merge with PBMs, acquire providers (physician practices, home…
  • Thematic Report
    June 29, 2018

    After a year of stalled investments owing to market uncertainty, healthcare payers restarted investments in areas such as value-based care adoption, care management, utilization & disease management, population health, and consumer experience. On the technology front,…
  • Provider Compendium
    April 18, 2017

    The healthcare payer BPO service provider profile compendium provides accurate, comprehensive, and fact-based profile snapshots of 20 service providers in the market. Specifically, the report allows for comparison of the service providers on their areas of…
  • State of the Market
    March 31, 2017

    Healthcare payer BPO market grew strongly during 2013-2015, reaching US$9.1 billion (including government business) in 2016. Obamacare contributed to a large extent in this growth story. However, with the election of Donald Trump as the President…
  • PEAK Matrix®
    Feb. 03, 2017

    As Obamacare continues to bring about changes in the market, healthcare payer market remains in a dynamic state. The impending decision about top payer consolation has added to the uncertainty in the market. Some of the…
  • Thematic Report
    Aug. 31, 2016

    Introduction The healthcare payer BPO service provider profile compendium provides accurate, comprehensive, and fact-based snapshots of 19 service providers in the market. Each five-page profile presents a comprehensive picture of a provider’s service suite, scale of…
  • PEAK Matrix®
    Jan. 25, 2016

    Introduction The healthcare payer market is undergoing a rapid transformation. With ObamaCare taking effect and boosting enrollments, several new payers find themselves overwhelmed while handling an unprecedented surge in volume. Also, as a result of the…

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