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.

Care management in healthcare ensures patients receive coordinated and personalized care. Traditional healthcare professionals served as care managers, coordinating care plans and facilitating communication among payers and providers. Post-COVID-19, technology advances, such as gen AI, conversational AI, and advanced automation, have transformed care management’s landscape. Advanced data analytics, telemedicine, and electronic health records have enhanced care management’s precision and accessibility. Care management platforms have improved healthcare services due to reduced healthcare costs, migration to value-based care models, and increased demand for patient-centered care. In this report, we assess 20 care management platform providers featured on the Care Management Platforms PEAK Matrix® Assessment 2024. The report will enable buyers to select the best-fit provider based on sourcing considerations and empower providers to benchmark their performance against their competition. Scope Industry: healthcare Geography: global Contents In this report, we examine 20 care management platform providers based on their: Scale of operations: revenue, buyer size, and geography Major case studies and consultative frameworks Proprietary solutions and key events Membership(s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management

Care management is a vital healthcare aspect that ensures patients and members receive coordinated and personalized care. Traditional healthcare professionals served as care managers, coordinating care plans and facilitating communication among payers and providers. Post-COVID, technology advances such as gen AI have transformed care management. Advanced data analytics, telemedicine, and Electronic Health Records (EHRs) have enhanced care management’s precision and accessibility. Care management platforms have improved healthcare services due to reduced healthcare costs, migration to value-based care models, and increased demand for patient-centered care. In this report, we assess 20 care management platform providers featured in the Care Management Platforms PEAK Matrix® Assessment 2024. The report will enable buyers to select the best-fit provider based on their sourcing considerations and empower providers to benchmark their performance against their competition. Scope Industry: healthcare Geography: global This report is based on Everest Group’s annual RFI process for the calendar year 2023, interactions with leading care management platform providers, client reference checks, and an ongoing analysis of the care management platforms market Contents In this report, we: Assess care management platforms market trends Examine enterprises’ sourcing considerations Compare providers’ key strengths and limitations Membership(s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management

COVID-19 significantly impacted care management technology adoption for healthcare payers and providers. They recognized the importance of leveraging technology to ensure continuous care while reducing transmission risk. The pandemic highlighted the value of data analytics and population health management for understanding disease trends and identifying high-risk populations. By leveraging data-driven approaches, healthcare payers and providers can allocate resources, personalize treatment plans, and address the needs of vulnerable patient groups, thereby improving patient outcomes and healthcare system resilience. Care management technology enables data collection, analysis, and visualization, empowering effective response and resource allocation during COVID-19. Technology solutions are vital for seamless collaboration among stakeholders in care coordination and communication. Patient-centered care models have also gained traction with technology enabling patient engagement and access to resources. Overall, the pandemic accelerated the adoption of care management technology, transforming healthcare delivery and emphasizing the importance of leveraging technology to meet the evolving needs of patients, providers, and payers. In this report, we assess start-ups that offer dedicated care management services, software, and solutions, focusing on their core capabilities and market impact. Scope Industry: healthcare Geography: global Contents In this report, we: Discuss payers and providers’ care management adoption levels Examine the drivers in the care management market Introduce a framework to evaluate high-potential start-ups in the care management market Highlight the trailblazers in care management, including their assessment, leaderboard, and profiles Membership(s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management