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