Cloud data platforms have traditionally been used to facilitate an organization’s data migration on to the cloud to manage it efficiently and securely. Today, enterprises are increasingly adopting these platforms to not only manage data efficiently, but also leverage their analytical and business intelligence capabilities to enhance decision-making. In healthcare, the complexities of managing data continue to be a concern as enterprises struggle to deal with growing data volumes and complexity, as well as siloed and legacy data systems. Additionally, rising digital adoption, the proliferation of remote health devices, and the adoption of new care delivery models (telehealth and virtual care) are pushing healthcare enterprises to rely on modernized cloud data platform models to better manage data and generate actionable insights. In this report, we assess 15 cloud data platform vendors featured on the Cloud for Healthcare – Data Platforms PEAK Matrix® Assessment 2022. The platform vendors are mapped on the Everest Group PEAK Matrix®, a composite index of a range of distinct metrics related to a vendor’s capability and market impact. The assessment will enable buyers to choose a platform vendor based on their sourcing considerations, while platform vendors will be able to benchmark their performance against their competitors. Scope Industry: healthcare Offering: cloud data platforms Geography: US Contents This report offers: An assessment of 15 cloud data platform vendors on capability and market success dimensions A detailed profile of each vendor, including a capability overview, case studies, offerings, recent developments, and enterprise sourcing considerations Membership(s)Healthcare Payer and Provider Information Technology Sourcing and Vendor Management

Cloud data platforms have traditionally been used to facilitate the migration of an organization’s data on to the cloud to manage it efficiently and securely. Today, enterprises are increasingly adopting these platforms to not only manage data efficiently, but also leverage their analytical and business intelligence capabilities to enhance decision-making. In healthcare, the complexities of managing data continue to be a concern as enterprises struggle to deal with growing data volumes and complexity, as well as siloed and legacy data systems. Additionally, rising digital adoption, the proliferation of remote health devices, and the adoption of new care delivery models (telehealth and virtual care) have further pushed healthcare enterprises to rely on modernized cloud data platform models to better manage data and generate actionable insights. In this research, we present an assessment of 15 cloud data platform providers (that serve the healthcare industry) featured on the Cloud for Healthcare – Data Platforms PEAK Matrix® Assessment 2022. The providers are mapped on the Everest Group PEAK Matrix®, a composite index of a range of distinct metrics related to a provider’s capability and market impact. Scope Industry: healthcare Offering: cloud data platforms Geography: US Contents This report comprises three sections: Market trends for healthcare cloud data platforms An assessment of 15 cloud data platform providers on capability- and market success-related dimensions Enterprise sourcing considerations, highlighting the strengths and limitations of each cloud data platform provider Membership(s)Healthcare Payer and Provider Information Technology Sourcing and Vendor Management

On an average, a payer spends 85-90% of its revenue on claims payments, and, hence, an efficient claims management process is vital for cost optimization. However, current workflows are characterized by a heavy dependence on manual processes and siloed operations, resulting in pricing and billing errors, incorrect claims denials, and high claims processing times. In this Everest Group research, we showcase the current state of payers’ claims management processes and the associated inefficiencies. To overcome these efficiencies, payers need to adopt a digitalization approach that allows them to build a digital layer over their existing claims management systems, rather than embracing a rip-and-replace approach, which is marred by limitations such as high costs, downtime, and data loss. Such a digital claims management model, characterized by Artificial Intelligence (AI) / Machine Learning (ML) tools and strong IT and business collaboration, will enable payers to accelerate the claims settlement cycle, improve accuracy, and drive cost savings. Scope Industry: Healthcare payer Geography: US Contents In this viewpoint, we study: Inefficiencies in the existing claims management workflow Scaled digital adoption in the claims management workflow Enablement of business and IT collaboration The business case for change Membership (s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management

The concept of interoperability is not new to the healthcare industry. Industry stakeholders have long debated the need and feasibility of interoperability within the healthcare ecosystem. The Centers for Medicare & Medicaid Services (CMS) and Office of the National Coordinator for Health Information Technology (ONC) Interoperability and Patient Access Final Rule has provided the necessary encouragement to healthcare enterprises and IT vendors to bring together data and provide easy data access to members/patients to coordinate their healthcare. The final rule also facilitates data access between payers and between payers and providers, giving these entities a broader view into member/patient healthcare and enabling them to enhance member/patient engagement and improve care delivery. This viewpoint examines the evolution of interoperability in healthcare, provisions and timelines of the interoperability rule, areas that enterprises should focus on for regulatory compliance, additional investments required to reap long term benefits of the rule, and complexity of the supplier landscape. Scope Industry: healthcare Geography: US Contents: This report studies: Interoperability in healthcare – evolution and regulatory mandates Healthcare enterprises navigating interoperability The interoperability solution landscape Emerging investment areas for healthcare enterprises Membership(s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management

The healthcare IT services space has historically been dominated by global service providers – including the likes of horizontal players such as Accenture, Cognizant, and TCS, as well as healthcare-specific giants such as Optum. However, in the past few years, the healthcare IT services supply ecosystem has evolved to include many small/midsized service providers. These service providers are establishing themselves as specialists in the healthcare IT services domain and gaining strong foothold in the market. A few have started challenging the front runners directly, while others are creating a niche for themselves in specific pockets. In a nutshell, these players are leveraging their healthcare domain expertise, healthcare services specialization, or/and high client intimacy to gain market share. In this study, we focus on IT service providers valued at not more than US$1 billion, receiving 25% or more of their revenue from healthcare, and falling under one or more of the following three buckets: broader healthcare IT service providers, healthcare platform-specific service providers, and healthcare consulting service providers. We assess 12 healthcare IT service specialists featured on the Healthcare IT Services Specialists PEAK Matrix® and categorize them into Leaders, Contenders, and Major Aspirants based on their capabilities and market impact. Our assessment is based on Everest Group’s annual RFI process for the calendar year 2020, interactions with specialists, client reference checks, and an in-depth analysis of the healthcare IT services market. Scope This research assesses the following healthcare IT services specialists: CitiusTech, Cumberland Consulting, emids, GAVS, Healthcare IT Leaders, Huron Consulting Group, Impact Advisors, Infinite, Infostretch, Nordic Consulting, Optimum Healthcare IT, and Pivot Point Consulting. Contents This report features detailed assessments of 12 healthcare IT services specialists, along with their strengths and areas of improvement. Membership(s)Healthcare IT Services (ITS) Sourcing and Vendor Management

The healthcare IT services space has historically been dominated by global service providers – including the likes of horizontal players such as Accenture, Cognizant, and TCS, as well as healthcare-specific giants such as Optum. However, in the past few years, we have witnessed the healthcare IT services supply ecosystem evolving, with a lot of small/mid-sized service providers coming into play and gaining mindshare with clients. These service providers are establishing themselves as specialists in the healthcare IT services domain and are gaining strong foothold in the market. A few of them have started challenging the front runners directly, while a few others are creating niche for themselves and operating in specific pockets. In a nutshell, these players are leveraging their healthcare domain expertise, healthcare services specialization, or/and high client intimacy to gain market share. As a scope of this assessment, we are focusing on service providers IT services providers with the total size not more than US$1 billion, getting 25% or more of their revenue from healthcare business, and falling under one or more of the three buckets – broader healthcare IT services providers, healthcare platform-specific services providers, and healthcare consulting services providers. In this research, we present an assessment of 12 healthcare IT services specialists featured on the Healthcare IT Services Specialists – Provider Landscape with Services PEAK Matrix®. The Everest Group PEAK Matrix® is a composite index of a range of distinct metrics related to a vendor’s capability and market impact. We focus on: Market update/trends on growing relevance of healthcare IT services specialists The landscape of healthcare IT services specialists Assessment of service providers on several capability and market success-related dimensions Scope This research assesses the following Healthcare IT services specialists: CitiusTech, Cumberland Consulting, emids, GAVS, Healthcare IT Leaders, Huron Consulting Group, Impact Advisors, Infinite, Infostretch, Nordic Consulting, Optimum Healthcare IT, and Pivot Point Consulting. Contents This report features detailed assessments of 12 healthcare IT services specialists, along with their strengths and areas of improvement. Membership(s)Healthcare IT Services (ITS) Sourcing and Vendor Management

Enterprises have made digital adoption the bedrock of their growth strategies in recent years to optimize processes, reduce costs, and deliver better customer experience, all in the pursuit of higher revenue growth and better operational efficiencies. The healthcare payer industry is no exception. Modernizing legacy systems is the need of the hour for healthcare payers and requires immediate attention, with evolving market needs and upcoming regulatory changes. Available point solution vendors are stepping up their game to provide best-of-breed capabilities to payers. Although point solutions are cost-effective, having disparate plug-and-play point solutions results in high cost of ownership and complex and fragmented payer technology ecosystems. Hence, to implement enterprise-wide operational and business transformation, payers are taking a platform-led approach. This report examines the current state of healthcare payers and emphasizes the need for modernization. It focuses on how core administration platforms provide the right push and support in driving payers' modernization initiatives. Scope Geography: global (with focus on the US) Industry: healthcare payer Services: healthcare payer solutions Contents The report focuses on the following topics: State of payers Platform-led modernization approach for healthcare payer Key platform vendor landscape Modernization roadmap and approach Membership(s) Healthcare IT Services (ITS)