• 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,…
  • PEAK Matrix®
    Sep. 17, 2024

    In 2023, US healthcare providers faced formidable challenges. Although patient volumes have started to recover, increased labor expense and talent shortage caused administrative burdens and workflow issues to become more pronounced. Despite slight improvements in hospital…
  • Provider Compendium
    Dec. 07, 2023

    The year 2022 proved to be a challenging time for healthcare providers in the United States. With patient volumes still lower than pre-pandemic levels, longer average lengths of stay, talent shortages, and rising costs, almost half…
  • 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 26, 2023

    2022 was a tumultuous year for the US healthcare provider landscape. With patient volumes still below pre-pandemic levels, an increase in the average length of stay, severe talent shortages, and escalating costs, nearly half of the…
  • 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…
  • PEAK Matrix®
    Nov. 22, 2022

    The healthcare Customer Experience Management (CXM) market has grown steadily after the pandemic due to the increasing focus of healthcare enterprises on member and patient experience and care management. The rising demand for customer engagement touchpoints…
  • Provider Compendium
    Sep. 12, 2022

    Revenue Cycle Management (RCM) Operations –Provider Compendium provides accurate, comprehensive, and fact-based snapshots of 31 service providers, including their scale of operations, technology solutions, and delivery locations, along with Everest Group’s PEAK Matrix® service provider assessment.…
  • PEAK Matrix®
    June 23, 2022

    The COVID-19 pandemic added to the financial burden of healthcare providers as footfall reduced and elective surgeries were postponed. Today, although volumes are steadily reaching pre-pandemic levels, healthcare providers are facing strong headwinds due to an…
  • 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
    Sep. 13, 2021

    Revenue Cycle Management (RCM) Operations – Service Provider Compendium provides accurate, comprehensive, and fact-based snapshots of 28 service providers, including their scale of operations, technology solutions, and delivery locations, along with Everest Group’s PEAK Matrix® service…
  • PEAK Matrix®
    July 28, 2021

    Revenue Cycle Management (RCM) continues to be a key focus area for healthcare providers, as is evident from the fact that administrative expenses account for nearly 20-25% of their total spend. Before COVID-19, healthcare providers were…
  • State of the Market
    Dec. 18, 2020

    The healthcare provider industry has been plagued with numerous issues – care providers have been operating on thin margins due to high claims denials, increasing bad debts, and the higher cost of operations, partially because of…
  • 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…
  • PEAK Matrix®
    June 28, 2019

    The healthcare providers in the United States spend ~US$400 billion every year on administrative services (mainly revenue cycle management). Considering the fact that this spend is the largest in the world – both in absolute as…

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