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  • June 04, 2025
    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
  • Feb. 14, 2025
    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
  • Dec. 05, 2024
    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
  • June 28, 2024
    The healthcare industry is significantly investing in cloud services to implement use cases in health data analytics, value-based care, population health, and interoperability. As enterprises grow, they leverage industry cloud to future-proof technology infrastructure and enhance value delivery. In response, providers are forming industry-specific partnerships and investing in Centers of Excellence (CoE) and innovation labs to boost cloud capabilities. In this report, we assess 34 healthcare industry cloud service providers featured on the Healthcare Industry Cloud Services PEAK Matrix® Assessment 2024. The report analyzes the healthcare industry cloud services market, cloud service themes for healthcare payers and providers, and providers’ capability- and market success-related dimensions. The research will enable enterprises to select the best-fit provider for their sourcing needs. Scope Industry: healthcare All industries and geographies Services: healthcare industry cloud Geography: global Contents In this report, we: Assess healthcare industry cloud 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
  • Nov. 20, 2023
    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
  • May 29, 2023
    Healthcare enterprises are recognizing the growing importance of Data and Analytics (D&A) in their growth strategies, as data-driven decision-making gains significance. Traditionally, D&A services focused on cost-cutting and operational optimization; however, there has been a shift toward prioritizing customer satisfaction and improving health outcomes. This shift has led healthcare enterprises to invest in data integration and advanced analytics, with a specific focus on areas such as data privacy, value-based care, and population health. Although payers have been leading in the adoption of D&A, providers are rapidly catching up, with the pandemic serving as a catalyst for this trend. Providers are assisting healthcare enterprises in defining their D&A strategy and roadmap, upgrading their infrastructure, and providing relevant recommendations for enterprise-level decision-making, resulting in tangible business benefits. In this report, we assess 35 healthcare D&A service providers featured on Everest Group’s Healthcare Data and Analytics Services PEAK Matrix® Assessment 2023 Each provider profile offers a comprehensive overview of its service focus and key strengths and limitations. The research will help buyers select the right-fit provider for their needs, while providers will be able to benchmark themselves against the competition. Scope Industry: healthcare Offering: D&A services Geography: global The assessment is based on Everest Group’s annual RFI process for the calendar year 2023, interactions with leading D&A service providers, client reference checks, and an ongoing analysis of the healthcare D&A services market Contents In this report, we: Study healthcare D&A services market trends Examine 35 healthcare D&A service providers’ capabilities and offerings List providers’ key strengths and limitations Membership(s) Healthcare Payer and Provider Information Technology Healthcare Payer and Provider Business Process Sourcing and Vendor Management
  • March 02, 2023
    Health plans and payer organizations rely on core administration platforms as the foundation of their operations. These platforms facilitate efficient execution of core operational and administrative functions such as benefits administration, claims processing, member enrollment, claims payment and adjustments, and product management for benefits and product lines. However, the legacy Core Administrative Processing Solutions (CAPS) are inadequate in keeping up with the rapidly evolving delivery and implementation options and IT systems integration. These systems have been stable and reliable for decades, but are often highly customized to the client’s requirements and are hosted on premises. As a result, there is significant inertia in transitioning from legacy solutions to modern cloud-based core administration solutions due to the associated risks and efforts required. The healthcare industry is now seeking new vendor partnerships due to the rapidly evolving industry compliance and regulatory requirements, challenges and opportunities for payment reform, and the emergence of value-based care. In this report, we assess 14 healthcare core administration platform providers and position them on Everest Group’s PEAK Matrix® as Leaders, Major Contenders, and Aspirants based on their vision and capability and market impact. The report also outlines the strengths and limitations of each provider. Scope Industry: healthcare Geography: US The assessment is based on Everest Group’s annual RFI process for the calendar year 2022, interactions with leading healthcare core administrative processing platform providers, client reference checks, and an ongoing analysis of the US healthcare CAPS market Contents In this report, we examine: 14 healthcare core administration platform providers featured on the Healthcare Cloud-based Core Administration Platforms PEAK Matrix®. The assessment is based on Everest Group’s annual RFI process for the calendar year 2022, interactions with leading healthcare core administrative processing platform providers, client reference checks, and ongoing analysis of the US healthcare CAPS market The characteristics of Leaders, Major Contenders and Aspirants and assessment of capabilities of all the platform providers In-depth analysis of sourcing considerations for each of the platforms assessed Membership(s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management
  • Dec. 20, 2022
    Following the pandemic, enterprise adoption of technology and digitization significantly increased, drastically changing the landscape for both healthcare providers and patients. To streamline procedures, realize cost efficiencies, and improve patient engagement and care management, healthcare enterprises made digital adoption the cornerstone of their growth strategies. To address enterprise demands, providers are expanding their capabilities through vertical-specific partnerships and acquisitions, investments in centers of excellence, and training, among other things. In this report, we assess 27 healthcare ITS providers mapped on the Everest Group PEAK Matrix® framework, a composite index of distinct metrics related to a provider’s capability and market impact. We look at the providers’ digital services market size and growth, examine digital service themes for healthcare providers, share provider assessments on several capability- and market success-related dimensions, and provide our independent remarks on the providers to help enterprises make the right sourcing decisions. Scope Industry: healthcare Offering: digital services Geography: global Contents In this report, we share: Healthcare provider digital services market trends Assessments of 27 healthcare digital service providers on capability- and market success-related dimensions Enterprise sourcing considerations, highlighting the strengths and limitations of each healthcare digital service provider Membership(s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management
  • Dec. 12, 2022
    Rapid digitization of healthcare and evolving customer expectations are driving the need for personalized customer experiences across pre-care, care, and post-care interactions. To serve this need, healthcare enterprises are leveraging Customer Experience (CX) platforms to enhance patient and member experiences across multiple interaction touchpoints such as sales and marketing, services management, patient administration, care management, and billing and payments. In this report, we assess 16 healthcare CX platform providers featured on the Healthcare Customer Experience Platforms PEAK Matrix®. The study will enable buyers to choose the best-fit 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 2022, interactions with leading healthcare CX platform providers, client reference checks, and an ongoing analysis of the healthcare customer experience platforms market Contents In this report, we assess: Assess the market trends for healthcare CX platforms  Examine enterprise sourcing considerations, along with the strengths and limitations of each provider  Membership(s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management
  • Nov. 22, 2022
    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