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.

As healthcare continues its transition to value-based, patient and member-centric care models, CIOs are increasingly under pressure to deliver seamless, proactive, and personalized experiences across the care continuum. Traditional Customer Relationship Management (CRM) platforms digitize communications but fall short in orchestrating real-time, intelligent engagement. The result is often fragmented experiences, high patient churn, inefficient workflows, and unmet member expectations. To address these limitations, healthcare enterprises are turning to Systems of Execution (SoE) – intelligent platform layers that go beyond passive data repositories to drive real-time decisioning and workflow automation across clinical and administrative functions. SoE represent the next evolution of CRM, which makes it capable of orchestrating adaptive, AI-driven engagement journeys that respond dynamically to clinical risk signals, social determinants of health, and benefit changes. In this Viewpoint, we explore SoE’s transformative potential across healthcare CRM by highlighting real-world use cases that improve care coordination, automate workflows, and elevate patient and member engagement.. Scope Industry: healthcare Geography: global Contents In this report, we explore: SoE’s role in transforming patient and member engagement across healthcare organizations A detailed roadmap for healthcare CIOs to implement SoE effectively, including foundational enablers such as unified data fabrics, AI-powered decision engines, and adaptive workflows A three-stage SoE maturity model with illustrative use cases and implementation best practices for each stage Strategic guidance to align CRM modernization with value-based care goals to improve engagement, care coordination, and operational efficiency

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

Healthcare organizations generate massive data volumes from EHRs, IoT, labs, and billing systems, making effective data management essential. Interoperability, governance, and real-time analytics challenges hinder seamless data flow and insight generation. Healthcare data platforms address these issues by offering AI-driven analytics, ETL pipelines, and EHR connectivity, transforming raw data into actionable insights. These platforms improve operational efficiency, enhance patient outcomes, and enable data-driven decision-making. However, balancing innovation with compliance remains vital as organizations navigate regulatory complexities and privacy concerns. Advanced solutions ensure secure, scalable, and intelligent data management, enabling predictive analytics and real-time interoperability. As the healthcare landscape evolves, data platforms will be pivotal in optimizing workflows, streamlining care coordination, and driving digital transformation across the industry. In this report, we analyze the data platforms landscape, including key solution components, considerations to select the right tool, and leading providers. It highlights healthcare data platforms’ evolution from traditional data storage to AI-driven analytics, real-time interoperability, and predictive insights. The report profiles 15 leading technology providers that offer data platforms, highlighting their capabilities and industry use cases. Scope Industry: healthcare Domain: healthcare data platforms Geography: global Contents In this report, we provide: Each provider’s company overview Provider’s capability, market trends, and innovation dimensions Case studies demonstrating capabilities in the healthcare data management space Membership(s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management

The healthcare industry is significantly investing in cloud services for health data analytics, value-based care, population health, and interoperability. As healthcare enterprises embark on their next growth phase, they leverage industry cloud to future-proof their technology infrastructure and enhance value delivery. In response, providers are partnering with and investing in centers of excellence and innovation labs to accelerate cloud capabilities. This report provides 34 service providers’ comprehensive, fact-based snapshots, including their revenue scale, client base and company overview, revenue split by geography, segment, value chain, and buyer size, along with Everest Group’s PEAK Matrix®  provider assessment. The report will enable current and potential healthcare industry cloud services buyers to assess the service providers on their strengths and limitations, based on their desired capabilities. Scope Industry: healthcare Offering: healthcare industry cloud Geography: global (with focus on the US) Contents In this report, we examine 34 healthcare industry cloud service providers based on their: 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 Memeberships Healthcare Payer and Provider Information Technology 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

Healthcare enterprises have made digital adoption the bedrock of their growth strategies to optimize processes, realize cost efficiencies, and improve member experiences. They are using digital services for value-based care and population health management, as well as to comply with changing regulations. To support enterprises on their digital transformation journeys, providers are ramping up capabilities through vertical-specific partnerships and acquisitions, investments in Centers of Excellence (CoEs), and training, among other things. These efforts are, in turn, driving the need for research and market intelligence on demand and supply trends in healthcare payer digital services. In this report, we assess 32 healthcare payer digital service providers mapped on Everest Group’s Healthcare Payer Digital Services PEAK Matrix® Assessment 2023. We classify these providers as Leaders, Major Contenders, and Aspirants based on their market impact and vision and capability. Scope Industry: healthcare Offering: payer digital services Geography: global (with focus on the US) Contents In this report, we examine 32 healthcare ITS providers for their: 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 Membership(s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management

Healthcare enterprises have made digital adoption the bedrock of their growth strategies to optimize processes, realize cost efficiencies, and enhance member experiences. They are leveraging digital services for value-based care and population health management, and to comply with changing regulations. To support enterprises on their digital transformation journeys, providers are ramping up their capabilities through vertical-specific partnerships and acquisitions, investments in Centers of Excellence (CoEs), and training, among other things. These efforts are, in turn, driving the need for research and market intelligence on demand and supply trends in healthcare payer digital services. In this report, we assess 32 healthcare ITS providers, which are mapped on the Everest Group PEAK Matrix®, a composite index of distinct metrics related to a provider’s capability and market impact. We focus on payer digital services market size and growth, digital service themes for healthcare payers, provider assessments on several capability- and market success-related dimensions, and Everest Group’s independent assessment of the providers to help enterprises make the right sourcing decisions. Scope Industry: healthcare Offering: payer digital services Geography: global (with focus on the US) Contents This report comprises three sections: Healthcare payer digital services market trends Assessment of 32 healthcare payer digital service providers on capability- and market success-related dimensions Enterprise sourcing considerations, highlighting the strengths and limitations of each healthcare payer digital service provider Membership(s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management

Generative AI, a technology that can create new and unique content, imitate human creativity, and address complex healthcare issues, is transforming the healthcare industry. By integrating generative AI into healthcare processes, healthcare organizations can realize significant benefits across various operational areas. They currently face challenges such as clinicians dealing with excessive administrative tasks, diagnostic errors, and patients encountering unsatisfactory experiences. Generative AI offers numerous opportunities to overcome these challenges. While the use of generative AI in healthcare is in its early stages, healthcare organizations are actively developing strategies to incorporate it into their practices. The aim is to enhance care management and automate administrative tasks. However, it is important to address issues related to data privacy, ethics, and system integration to fully realize the potential of generative AI in healthcare. This report highlights the significant potential of generative AI in healthcare, outlining how organizations can harness its power to improve care management and patient outcomes. Additionally, it explores the impact on healthcare entities, identifies key focus areas, and addresses challenges in implementing this transformative technology. Scope Industry: healthcare Geography: global Contents In this report, we examine: Generative AI’s impact on healthcare entities Generative AI’s integration within the payer and provider journey The supplier ecosystem in generative AI Considerations regarding trust and safety An implementation plan for generative AI in healthcare 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