The shift toward value-based care, proactive population health management, and quality-linked reimbursement models is rapidly transforming the healthcare industry. Care management platforms have become foundational infrastructure, enabling organizations to manage chronic conditions, close care gaps, enhance regulatory reporting, and improve member outcomes. Recent advances have extended platform capabilities beyond documentation to include AI-enabled orchestration, real-time analytics, and interoperability frameworks that integrate Electronic Health Records (EHRs), claims, labs, pharmacy data, social determinants of health, and wearables. Providers are increasingly embedding generative AI for care plan automation, conversational engagement, and clinical record summarization, while agentic AI is beginning to assist in decision-making areas such as prior authorization. Despite these innovations, challenges persist in achieving seamless EHR integration, end-to-end workflow automation, and consistent adoption of next-generation features. Consequently, buyers are emphasizing platforms that offer scalability, automation, user-centric design, and interoperability with other systems. Providers, in turn, are differentiating through domain-focused capabilities (for example, chronic disease management and behavioral health), star optimization, and interoperability maturity. This report evaluates care management platform providers, positioning them as Leaders, Major Contenders, and Aspirants based on their vision, capabilities, and market impact. The analysis leverages Everest Group’s annual RFI process, provider briefings, buyer interviews, and proprietary market research.

Payers are undergoing rapid transformation to meet growing expectations around value-based care, proactive population health management, and quality-linked reimbursement. Care management platforms are emerging as foundational infrastructure, enabling payers to manage chronic conditions, close care gaps, enhance regulatory reporting, and improve member outcomes. Recent advances have expanded platform capabilities beyond documentation to include AI-powered orchestration, real-time analytics, and interoperability frameworks that integrate Electronic Health Records (EHRs), claims, labs, pharmacy data, Social Determinants of Health (SDoH), and wearables. Providers are embedding generative AI for care plan automation, conversational interfaces, and summarization of clinical records, while agentic AI is beginning to support decision-making in areas such as prior authorization. Despite these innovations, challenges remain in seamless EHR integration, limited workflow automation, and uneven adoption of next-generation capabilities. As a result, buyers are prioritizing platforms that deliver scalability, automation, user-centric design, and interoperability with other systems. Providers are differentiating through domain-specific capabilities (for example, chronic disease management and behavioral health), stars optimization, and interoperability maturity. In this report, we assess 19 care management platform providers, positioning them as Leaders, Major Contenders, and Aspirants based on vision, capability, and market impact. The analysis draws on Everest Group’s annual RFI process, provider briefings, buyer interviews, and proprietary market research.

Population Health Management (PHM) is a cornerstone of modern healthcare, enabling payers and providers to improve outcomes and reduce costs by proactively managing patient populations. As the burden of chronic disease, aging populations, and health inequities rises, PHM platforms provide structured, data-driven frameworks to support early intervention, coordinated care, and improved quality scores. The shift to value-based care is accelerating demand for PHM solutions that integrate diverse data sources, from EHRs and labs to claims, wearables, and Social Determinants of Health (SDoH). Despite significant progress, adoption challenges remain around interoperability, workflow integration, and costs. Payers and providers increasingly prioritize solutions that offer scalability, bidirectional FHIR-based data exchange, configurable workflows, and actionable insights. Platform providers are differentiating through AI-powered outreach, advanced equity analytics, and quality measure tracking integrated directly into EMRs. The report evaluates 20 leading global PHM platform providers across a range of core capabilities, including data unification and integration, risk stratification, care coordination, patient engagement, real-time analytics, and the incorporation of SDoH. It also explores how these platforms leverage next-generation technologies such as AI to generate intelligent insights and drive early interventions. In addition, the report features detailed profiles of each provider, outlining platform functionalities and highlighting case studies. Everest Group also shares its perspective on each provider’s market impact, innovation maturity, and capability depth.

Healthcare enterprises are increasingly recognizing the strategic value of Data, Analytics, and AI (DAAI) as data-driven decision-making becomes central to achieving business and clinical outcomes. While DAAI initiatives have traditionally focused on cost containment and operational efficiencies, there is now a clear shift toward enhancing patient experiences and driving improved health outcomes. This evolving focus is prompting organizations to invest in robust data integration capabilities and advanced analytics, with particular emphasis on data privacy, value-based care, and population health management. Although payers have historically led DAAI adoption, providers are rapidly advancing their capabilities. They are essential in shaping enterprise DAAI strategies and roadmaps, modernizing infrastructure, and delivering actionable insights that support high-impact decision-making. As a result, healthcare organizations are realizing measurable improvements in performance, care delivery, and patient engagement. In this report, we assess 32 healthcare DAAI providers featured on the Healthcare Data, Analytics, and AI Services PEAK Matrix® Assessment 2025. The report analyzes the healthcare DAAI services market size, DAAI service themes for healthcare enterprises, and providers’ capabilities and market success. The research will enable enterprises to select the best-fit provider for their sourcing needs. Scope Industry: healthcare Service: healthcare DAAI services Geography: global Contents In this report, we assess: Healthcare DAAI services market trends Each provider’s capabilities and market success Providers’ key strengths and limitations

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

Healthcare organizations use Revenue Cycle Management (RCM) to manage the administrative and clinical functions related to processing claims, receiving payments, and generating revenue. The cycle begins with a patient scheduling an appointment and continues until the final payment is received. Due to increasing staff burnout cases, changing regulations, rising costs, and prioritizing improved patient experiences, there is a growing demand for third-party services to assist healthcare providers with their RCM operations. This has led to significant growth in the RCM services market, making it one of the fastest-growing segments in the healthcare industry. Within RCM, managed services and technology products are two key solution types. Both play vital roles in optimizing healthcare financial processes and have unique advantages. In this viewpoint, we explore the collaborative relationship between healthcare enterprises and RCM service providers, particularly examining the contributions of these two partnership models (technology products and managed services). The report examines how these models address challenges and looks ahead to future-proofing RCM in the ever-evolving healthcare landscape. Scope Industry: RCM Geography: global The assessment is based on Everest Group’s proprietary research and transactional intelligence Membership(s) Healthcare Payer and Provider Information Technology Healthcare Payer and Provider Business Process Sourcing and Vendor Management

As the healthcare industry shifts its focus toward prioritizing patients, patient involvement in their healthcare journeys is becoming increasingly important. In response to this evolving dynamic, healthcare enterprises are leveraging patient engagement platforms to enhance the overall patient experience across various touchpoints of interaction. These platforms serve as a vital link between patients and healthcare providers, promoting proactive healthcare management. As patients and healthcare providers increasingly demand personalized and accessible healthcare services, these platforms provide patients real-time access to their medical information, telehealth options, and appointment scheduling. This not only enhances the patient experience and satisfaction but also plays a vital role in optimizing healthcare resources and improving outcomes. Furthermore, within a rapidly evolving digital health ecosystem, patient engagement platforms are essential to ensure compliance with regulatory requirements and data security, contributing to healthcare businesses’ overall efficiency and success. In this report, we assess 19 patient engagement platform providers featured on the Patient Engagement Platforms PEAK Matrix®. The study will enable buyers to choose the best-fit platform provider based on their sourcing considerations, while providers will be able to benchmark their performance against each other. Scope Industry: healthcare Geography: global The assessment is based on Everest Group’s annual RFI process for the calendar year 2023, interactions with leading patient engagement platform providers, client reference checks, and an ongoing analysis of the patient engagement platforms market Contents In this report, we examine 19 patient engagement platform providers for their: Scale of operations: client base overview, revenue split by segment, value chain, buyer size, and geography Major case studies and consultative frameworks Proprietary solutions and key events Membership(s) Healthcare Payer and Provider Information Technology Outsourcing Excellence

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

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

Healthcare Data and Analytics (D&A) Services Provider Compendium provides accurate, comprehensive, and fact-based snapshots of 35 providers, including their scale of revenue, overview of client base, company overview, revenue split by geography, segment, value chain, and buyer size, along with Everest Group’s PEAK Matrix® service provider assessment. The compendium also examines the global healthcare D&A service provider landscape. The report will enable current and potential buyers of payer operations to assess the providers on their strengths and limitations, based on their desired capabilities. Scope Industry: healthcare Geography: global This report is based on Everest Group’s annual RFI process for the calendar year 2023, interactions with leading healthcare D&A services providers, client reference checks, and an ongoing analysis of the healthcare D&A services market Contents Each provider profile captures the following details: Scale of operations: client base overview, revenue, revenue split by segment, value chain, buyer size, and geography Major case studies and consultative frameworks Proprietary solutions and key events Everest Group assessment: providers’ position on Everest Group’s PEAK Matrix® and overall evaluation of provider capabilities with key strengths and limitations Membership (s) Healthcare Payer and Provider Information Technology Healthcare Payer and Provider Business Process Data & Analytics Sourcing and Vendor Management