In recent years, technology enterprise adoption and digitalization have significantly reshaped Revenue Cycle Management (RCM), transforming how healthcare providers optimize financial performance and patient engagement. To enhance provider reimbursements, streamline claims processing, and accelerate value-based care initiatives, healthcare providers have made digital adoption their RCM strategies’ foundation. To meet growing enterprise demands, RCM platform providers are expanding their capabilities through investments in AI/gen AI-driven automation, strategic partnerships, and acquisitions to drive efficiency and financial sustainability. In this report, we evaluate 22 RCM platform providers mapped on the Everest Group PEAK Matrix® framework. The report analyzes the RCM platform market size, growth trends, and key capabilities, offering insights into market success metrics. It offers enterprises the information they need to make informed sourcing decisions in the evolving RCM landscape. Scope Industry: healthcare Product: revenue cycle management Geography: US Contents In this report, we: Assess healthcare RCM platforms market trends Examine each platform provider’s capability and market success-related dimensions Analyze platform providers’ key strengths and limitations Membership(s) Healthcare Payer and Provider Information Technology Revenue Cycle Management Sourcing and Vendor Management

The Electronic Health Record (EHR) landscape is significantly transforming, with enterprises seeking next-generation solutions to address interoperability and data security challenges. This shift compels providers to innovate their offerings and introduce advanced platforms that enhance clinical workflows, enable interoperability, support value-based care, and enhance data security. Following suit, Oracle has launched its next-generation EHR offering, which includes automated workflows, integrated clinical decision support, and enhanced data interoperability. In this report, we examine Oracle’s current market position, key product announcements, and industry objectives. We also review Oracle’s next-generation EHR technology and cover essential issues and objectives around health information management for healthcare enterprises. Scope Industry: healthcare Geography: global Service: healthcare technology Contents In this report, we: Examine key enterprise issues and objectives for advanced EHRI Review Oracle’s next-generation EHR announcement Membership(s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management

In the past few years, enterprise adoption of technology and digitization has significantly increased, changing the landscape for healthcare providers and patients. To improve provider reimbursements, patient engagement, and care management and accelerate value-based care programs, healthcare enterprises have made digital adoption their growth strategies’ cornerstone. To address these emerging enterprise demands, providers are expanding their AI offerings, engaging in vertical-specific partnerships and acquisitions, and investing in centers of excellence. In this report, we examine 35 healthcare provider digital service providers featured on Everest Group’s PEAK Matrix® framework based on their capabilities. The report analyzes the provider digital services market size and growth and digital service themes for healthcare providers. It assesses providers on several capability- and market success-related dimensions and offers valuable insights to help enterprises make the right sourcing decisions. Scope Industry: healthcare Service: healthcare provider digital Geography: global Contents In this report, we: Assess healthcare provider digital services market trends Examine each provider’s capability- and market success-related dimensions Compare providers’ key strengths and limitations Membership(s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management

The Medicare Prescription Payment Plan (MPPP), part of the Inflation Reduction Act, aims to smoothen Out-of-Pocket (OOP) prescription costs for Medicare beneficiaries by spreading upfront expenses over 12 months. To implement MPPP effectively, health plans and Pharmacy Benefit Managers (PBMs) must adopt advanced technology solutions, including automated billing tools and member self-service portals. This transition from manual processes to tech-driven methods ensures accurate billing, seamless data exchange, timely reporting, and proactive member communication. Health plans and PBMs must invest in automated tools to meet regulatory requirements and enhance member experience. This report explores MPPP’s objectives and key roles and considerations for health plans and PBMs. It highlights essential components for successful MPPP implementation, such as billing tools, self-service portals, and customer support. Scope Industry: Healthcare Geography: North America Contents In this report, we: Explain the MPPP objectives Highlight key roles and considerations for health plans and PBMs to implement MPPP Detail essential technology solutions required, including automated billing tools, reporting tools, customer service portal, and member self-service portals Outline key performance indicators to assess the effectiveness of implementing MPPP Membership(s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management

Revenue Cycle Management (RCM) platforms automate financial processes in the healthcare industry, optimizing the revenue cycle from patient registration and appointment scheduling to final bill payment. Healthcare organizations increasingly evaluate RCM platform providers based on the functionalities, features, and technical support they provide. Demand is high for solutions such as patient engagement, denial management, and medical coding, as healthcare providers prioritize solutions that address current challenges and provide flexibility for future developments in the healthcare landscape. In this compendium, we assess 20 RCM platform providers on the RCM Platforms PEAK Matrix®. The study will enable buyers to choose the best-fit providers based on their sourcing considerations, while providers will be able to benchmark their performance against the competition. Scope Industry: healthcare Geography: US The assessment is based on Everest Group’s annual RFI process for calendar year 2023, interactions with leading RCM platform providers, client reference checks, and an ongoing analysis of the RCM platforms market Contents In this report, we examine 20 RCM platform providers for their: Scale of operations: client base overview, revenue, revenue split by value chain and buyer size Key case studies Proprietary solutions and key events Membership(s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management

In recent years, the Healthcare and Life Sciences (HLS) industry has faced notable cyber threats, with the frequency of such incidents continuing to rise. These threats include targeted breaches of health records, patient databases, and pharmaceutical intellectual property. As a result, HLS enterprises are outsourcing cybersecurity solutions to providers that have a deep understanding of the industry. This is to comply with regulatory mandates, enhance patient/member data protection, safeguard enterprise reputation and trust, and secure medical devices. In this report, we explore significant cybersecurity themes in the HLS domain and identify highly adopted use cases, benefits, challenges, and emerging technologies and opportunities under each theme. The report will enable providers to invest strategically in cybersecurity, while guiding enterprises to formulate a robust cyber resilience strategy. Scope Industry: HLS Geography: global Contents In this report, we examine: Drivers and challenges of cybersecurity solutions Trends in the cybersecurity market Key cybersecurity service opportunities Cybersecurity solutions’ use cases for HLS enterprises Potential investment areas for providers Implications for enterprises Membership(s) Healthcare Payer and Provider Information Technology Cybersecurity Life Sciences Information Technology

Revenue Cycle Management (RCM) platforms automate financial processes in the healthcare industry. These platforms optimize the revenue cycle, from patient registration and appointment scheduling to the final bill payment. Healthcare organizations are increasingly evaluating RCM platform providers based on the functionalities, features, and technical support they provide. Solutions such as patient engagement, denial management, and medical coding are in demand as healthcare providers are expected to continue prioritizing solutions that not only address current challenges but also provide flexibility for future developments in the healthcare landscape. In this research, we assess 20 RCM platform providers on the RCM Platforms PEAK Matrix®. The study will enable buyers to choose best-fit providers based on their sourcing considerations, while providers will be able to benchmark their performance against the competition. Scope Industry: healthcare Geography: US The assessment is based on Everest Group’s annual RFI process for calendar year 2023, interactions with leading RCM platform providers, client reference checks, and an ongoing analysis of the RCM platforms market Contents In this report, we: Evaluate market trends for RCM platforms Assess 20 RCM platform providers on capability- and market success-related parameters Analyze enterprise sourcing considerations, highlighting the strengths and limitations of each RCM platform provider  Membership(s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management

Revenue Cycle Management (RCM) platforms facilitate the management of administrative and clinical functions, such as claims processing, payment, and revenue generation, for healthcare facilities. Healthcare organizations are increasingly evaluating RCM platform providers based on the IT infrastructure and technical support they provide. End-to-end RCM solutions are becoming commonplace as more providers try to consolidate RCM services. In this compendium, we provide detailed and fact-based snapshots of 15 technology providers featured on the RCM Products PEAK Matrix® and classify them as Leaders, Major Contenders, and Aspirants based on their market impact and vision & capability. Each provider profile presents a comprehensive picture of the provider’s product focus, key Intellectual Property (IP) / solutions, domain investments, and case studies. Scope: Industry: healthcare Offering: RCM platforms Geography: US The assessment is based on Everest Group’s annual RFI process for the calendar year 2022, interactions with leading RCM providers, client reference checks, and an ongoing analysis of the RCM products market Contents: In this report, we assess: Market trends for RCM platforms Fifteen RCM platform providers on capability- and market success-related parameters Enterprise sourcing considerations, highlighting the strengths and limitations of each RCM platform provider Membership(s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management

Revenue Cycle Management (RCM) platforms facilitate the management of administrative and clinical functions, such as claims processing, payment, and revenue generation, for healthcare facilities. Healthcare organizations are increasingly evaluating RCM platform providers based on the IT infrastructure and technical support they provide. End-to-end RCM solutions are becoming commonplace as more providers try to consolidate RCM services. In this research, we assess 15 technology providers on the RCM Products PEAK Matrix®. Each provider profile presents a comprehensive picture of its product focus, key Intellectual Property (IP) / solutions, domain investments, and case studies. Scope Industry: healthcare Offering: RCM platforms Geography: US The assessment is based on Everest Group’s annual RFI process for the calendar year 2022, interactions with leading RCM providers, client reference checks, and an ongoing analysis of the RCM products market Contents In this report, we assess: Market trends for RCM platforms Fifteen RCM platform providers on capability- and market success-related parameters Enterprise sourcing considerations, highlighting the strengths and limitations of each RCM platform provider Membership(s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management