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  • Viewpoint
    Jan. 14, 2021

    On January 6, 2021, UnitedHealth Group’s Optum acquired Tennessee-based healthcare technology company Change Healthcare for roughly US$13 billion (including about US$5 billion debt). Upon the deal’s completion in H2 2021, Change Healthcare will become a part…
  • 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…
  • Provider Compendium
    Dec. 11, 2020

    Revenue Cycle Management (RCM) Operations – Service Provider Compendium 2021 provides accurate, comprehensive, and fact-based snapshots of 26 RCM operations service providers. It offers a detailed profile of each RCM service provider – with a comprehensive…
  • PEAK Matrix®
    Sep. 25, 2020

    With an annual spend of about US$100 billion every year, Revenue Cycle Management (RCM) is a key focus area for service providers. While providers were already operating on thin margins, COVID-19 has further hit their cash…
  • Provider Compendium
    June 07, 2021

    Everest Group defines Intelligent Document Processing (IDP) as a process that leverages a software product or solution to capture data from documents (e.g., emails, text, PDFs, and scanned documents), categorize it, and extract relevant data for…
  • 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…
  • PEAK Matrix®
    June 29, 2020

    Historically, healthcare providers have been impeded by legacy IT estate and regulations that have sought to maintain the status quo. However, that is not an option anymore, particularly as healthcare providers scramble to meet the unprecedented…
  • Provider Compendium
    July 17, 2020

    Historically, healthcare providers have been impeded by legacy IT estate and regulations that have sought to maintain the status quo. However, the COVID-19 pandemic has compelled them to jump on the digital bandwagon to meet the…
  • State of the Market
    March 04, 2020

    Now more than ever, the healthcare provider industry is expected to improve care outcomes, keep pace with changing regulatory policies, and stay competitive in the face of disruptions, all the while keeping healthcare costs in check.…
  • Provider Compendium
    May 01, 2020

    Everest Group defines Intelligent Document Processing (IDP) as a process that leverages a software product or solution to capture data from documents (e.g., emails, text, PDFs, and scanned documents), categorize it, and extract relevant data for…
  • PEAK Matrix®
    Dec. 13, 2019

    Healthcare challenges, such as changing business and care delivery models to support patient-centricity and consumerism, growing competition from both within and outside the industry, and increasing regulatory pressures, are leading to increased investments in data and…
  • PEAK Matrix®
    Dec. 20, 2019

    The payer industry is facing several issues such as escalating costs, declining margins, widespread regulatory amendments, shift from volume- to value-based care model, and rising consumerism. Digital adoption is influencing all aspects of the payer value…
  • Thematic Report
    Sep. 27, 2019

    As the realities of the global business environment change, the Business Process Services (BPS) industry is under immense pressure to transform. Buyers are struggling with unique challenges and are increasingly demanding results beyond cost reductions and…
  • Provider Compendium
    Sep. 13, 2019

    The Revenue Cycle Management (RCM) BPS service provider profile compendium provides accurate, comprehensive, and fact-based profile snapshots of 23 service providers. Specifically, the report compares service providers on their areas of strength and development. It helps…
  • PEAK Matrix®
    Oct. 10, 2019

    Claims processing is becoming ever more complex for payers given issues such as the need to transform healthcare plans’ business models to accommodate new markets and new lines of business; and increasing inflow of members; and,…
  • PEAK Matrix®
    March 27, 2020

    Everest Group defines Intelligent Document Processing (IDP) as any software product or solution that captures data from documents (e.g., email, text, PDF, and scanned documents), categorizes, and extracts relevant data for further processing using AI technologies…
  • 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…
  • 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…

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