In today’s dynamic healthcare landscape, Patient and Member Engagement (PME) has become a strategic imperative for healthcare enterprises and service and platform providers. Historically overlooked and limited to administrative touchpoints, PME has evolved into a mission-critical function that impacts patient/member satisfaction and business outcomes, such as retention, medication adherence, care outcomes, and cost improvements. Rising expectations, omnichannel demand, regulatory pressures, and advanced technology have accelerated the transition toward seamless, intelligent, and personalized engagement across the care journey.  In this report, we analyze the PME’s evolving role in healthcare and its significance in driving better outcomes. The report assesses key adoption trends, identifies technology and organizational accelerators, and highlights the barriers that limit PME’s scaling across the industry. Focusing on real-world enterprise priorities, the report outlines how healthcare organizations are using gen AI, predictive analytics, and agentic AI to enable self-service, deliver personalized communication, and proactively retain members and patients.  Additionally, the report examines the emergence of Systems of Execution (SoE) and their potential to unify data, drive AI-led engagement, and convert insights into real-time execution across touchpoints. It also provides sourcing guidance and strategic recommendations for payers and providers, emphasizing the need for a PME lead to drive enterprise alignment and measure experience success. 

The shift from fee-for-service to Value-based Care (VBC) is increasing due to payer mandates and the long-term promise of improved outcomes and lower costs. However, this transformation is unfolding amid economic uncertainty, tariff-driven inflation, and healthcare provider financial strain. Several hospitals lack the capital, operational agility, or data integration required to scale VBC adoption effectively. As Centers for Medicare & Medicaid Services (CMS) expands its adoption through the Alternative Payment Model (APM) framework, healthcare providers struggle to align limited resources with long-term strategic goals. To succeed in this evolving environment, healthcare organizations must invest in automation, analytics, and AI-enabled tools that improve financial and clinical performance. Agentic AI offers the potential to ease documentation burdens, close care gaps, and support compliance in a fragmented data ecosystem. In this report, we highlight how the emerging divide in the VBC landscape, shaped by resource availability, risks exacerbating disparities in care quality and organizational resilience. The report offers actionable strategies to navigate payer demands, optimize contracts, and realign RCM provider partnerships to support value-based models. Scope Industry: healthcare Geography: North America Contents In this report, we: Simply the VBC concept Evaluate systemic barriers slowing VBC adoption Assess VBC adoption trends in the future Analyze the healthcare provider strategy blueprint for VBC’s success

As the healthcare industry prioritizes precise, efficient, and accessible care, automation is essential in addressing challenges such as inaccuracies, inefficiencies, workforce shortages, and limited access to care. Robotic technologies help bridge these gaps and enhance healthcare delivery. Healthcare robots are transforming the industry by improving medical care’s precision, efficiency, and accessibility. They come in various forms and serve multiple applications, from surgery to rehabilitation. Integrating these robots into healthcare aims to enhance patient outcomes, minimize human error, and optimize care delivery. Additionally, hospitals use these robots to assist with logistics, streamline clinical workflows, and improve operational efficiency. By reducing the burden on healthcare staff, they contribute to long-term cost savings through increased efficiency and fewer errors. This research focuses on an in-depth analysis of non-surgical robots, exploring their technology advances, impact, and future evolution in healthcare. Scope Industry: healthcare, pharmaceutical, medical devices, and diagnostics All geographies Contents Focus areas of the report include: Non-surgical robots’ technology landscape in healthcare Key factors driving R&D and adoption Key technology developers and adopters and the innovation landscape Non-surgical robots’ future trajectory in healthcare

The age of generic, one-size-fits-all healthcare solutions has ended. Patient and member engagement is vital to ensure personalized care for patients. Today, personalized communication is essential to enhance user satisfaction and ensure adherence to treatment plans. Personalized engagement in healthcare is moving beyond mere administrative support, focusing on enriching patient experiences, enabling proactive communication, and delivering timely interventions to foster better health outcomes. In this report, we assess 20 providers featured in the Patient and Member Engagement Platforms PEAK Matrix® Assessment 2024. It 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 2024, interactions with leading patient and member engagement platform providers, client reference checks, and an ongoing analysis of the patient and member engagement platform market Contents In this report, we assess: Patient and member engagement platform market trends Enterprises’ sourcing considerations Providers’ key strengths and limitations Membership(s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management

In the dynamic life sciences clinical development field, patient engagement has emerged a vital innovation and success driver. As clinical research evolves, integrating patient perspectives and active participation has become a transformative force, significantly enhancing clinical trials’ quality and relevance. Effective patient engagement throughout the clinical trial process, from study design and recruitment to data collection and result dissemination, ensures that trials are more patient-centric, efficient, and likely to yield meaningful insights. Patient engagement in clinical development is not merely a regulatory requirement but a strategic imperative. Patients who are engaged are more likely to participate in clinical trials and remain committed throughout the study, thereby reducing dropout rates and accelerating the research timeline. In this report, we assess start-ups that provide clinical trial patient engagement solutions, offering insights into capabilities, market impact, and the evolving landscape. Furthermore, from creating patient advisory boards to using patient-reported outcomes, we will explore practical strategies to incorporate patient engagement into clinical development. We will also examine case studies and best practices that illustrate patient-centric approaches’ tangible benefits. Scope Industry: life sciences Geography: global Contents In this report, we Examine the drivers and barriers to patient engagement solution adoption in clinical trials Introduce a framework to evaluate high-potential start-ups in the patient engagement market Highlight the trailblazers in patient engagement, including their assessment, leaderboard, and profiles Membership(s) Clinical Development Technology Sourcing and Vendor Management

In the healthcare sector, effective member engagement is vital for care coordination and improving outcomes. Despite significant investments in digital tools such as telehealth, healthcare payers struggle with adoption due to discrepancies between member needs and available functionalities. Barriers such as demographic differences and limited technology awareness hinder widespread adoption. However, there has been a notable increase in digital channel usage post-COVID-19, although interactions remain largely transactional. Member engagement technology enables data analysis, communication, and self-service but requires improvement to foster more proactive engagement. Members increasingly seek transparency, cost estimates, and wellness information from health plans, with growing interest in wellness management apps. . In this research, we assess start-ups that offer member engagement solutions, focusing on their capabilities and market impact, based on Everest Group’s analysis of exponential technology companies. The report provides insights into the evolving landscape and opportunities for health plans to enhance member engagement and healthcare delivery.. Membership(s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management

Digital surgery refers to the integration of advanced digital technologies, such as data and analytics and advanced imaging, with robotic surgical systems to provide a better experience to both patients and surgeons across the surgery life cycle. Initially, prominent medical device enterprises invested heavily in surgical robots to acquire pure-play surgical capabilities. However, to scale the adoption of robots in surgery, enterprises need to overcome fragmented surgeon acceptance, inadequate training, and technological complexity. Consequently, they have started investing in complementing digital solutions with advanced digital technologies. Recognizing this opportunity, multiple start-ups with a focus on digital surgery technologies have started to gain traction. These start-ups, with a niche area of focus and verticalized expertise, aim to bridge the gap between surgeons and robots by providing various technology solutions, enabling surgical training, pre-operative planning, and real-time patient monitoring. In this report, we assess start-ups that offer proprietary digital surgery solutions, primarily focusing on their core capabilities and market impact. Scope Industry: medical devices Geography: global Contents In this report, we: Discuss digital surgery use cases across the surgery life cycle Examine the major trends and challenges in the adoption of digital surgery Analyze the prominent categories of digital surgery start-ups Discuss the emergence of generative AI across the digital surgery ecosystem Identify and analyze trailblazers in the digital surgery technology space Membership(s) Life Sciences Information Technology Sourcing and Vendor Management

The Hospital at Home (HaH) healthcare delivery model enables patients to receive hospital-level care at home, improving patient comfort and potentially reducing extended hospital stays. Advanced technology and healthcare professionals support this innovative approach, which aims to provide high-quality care for acute and chronic conditions, thus transforming the healthcare landscape. The integration of HaH into acute care has the potential to revolutionize healthcare by offering comprehensive, cost-effective, and proactive care. Remote Patient Monitoring (RPM), a technology that facilitates real-time communication between patients and healthcare providers, plays a vital role in ensuring the effectiveness of the HaH model. Initially, chronic care adopted RPM, which has achieved considerable success and is now gaining traction in acute care. We anticipate further expansion in RPM adoption across various healthcare specialties. In this report, we examine the evolving landscape of HaH and the significant role that RPM plays in its effectiveness. It also explores the drivers and challenges of HaH adoption, future outlook, current adoption levels of HaH and RPM, and investments in care specialties. Scope Industry: healthcare Geography: global Contents In this report, we examine: The evolving HaH landscape RPM’s significance in the HaH model Drivers and challenges for HaH HaH’s future outlook Membership (s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management

In the current healthcare landscape, patient engagement platforms play a vital role. They serve as a crucial link between patients and healthcare providers, promoting proactive healthcare management. As consumers increasingly demand personalized and accessible healthcare services, these platforms give 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 in ensuring 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 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: Assess the market trends for patient engagement platforms Examine enterprise sourcing considerations Study providers’ key strengths and limitations Membership(s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management

Rising healthcare costs and evolving customer expectations are driving the shift from volume- to value-based care, a healthcare reimbursement model that ties care delivery payments to the quality of care provided to patients. Healthcare enterprises are realizing the need to develop coordinated, integrated, and preventive care as they move to value-based care and try to bring costs down. They are, therefore, increasingly building strategies to implement new care delivery models, strengthen population health initiatives, and improve coordination between different forms of care. In this report, we share the key drivers and challenges in enabling value-based care and the ways in which healthcare enterprises are implementing value-based care. Scope Industry: healthcare Geography: global Offering: value-based care Contents This report offers: Drivers of value-based care Enterprise adoption challenges for implementing value-based care Key organizational tenets for enabling value-based care Value-based care approaches Examples of enterprises enabling value-based care Membership(s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management