Introduction

The healthcare industry is witnessing unprecedented churn and transformation, leading to a surge in adoption of IT and business process outsourcing. Driven by regulatory reforms, tenets of consumerization, market consolidation, and emergence of next-generation digital avenues, acceptance of outsourcing has accelerated in the space. The payer industry is grappling with widespread reforms as well as increasing consumerization of demand fundamentally altering their operating model. To tackle these, market participants are actively looking at technology as a lever of operational efficiency and transformational change. As HIX, ACOs, payer-provider convergence, and the overall shift to value-based reimbursement get operationalized; payers need to chalk out an effective IT strategy.

With companies increasing the pace of adoption of outsourced delivery, there is an uptick in demand for relevant research and market intelligence on demand and supply trends in healthcare outsourcing across each subvertical – payer, provider, and life sciences. The need is more pronounced for the vertical-specific IT outsourcing function, where business challenges are driving greater adoption. Everest Group’s healthcare outsourcing research program addresses this market requirement by analyzing outsourcing trends and service provider capabilities specific to ITO in the payer vertical.

Content

In this research, we present detailed profiles of the 18 service providers featured on the payer ITO PEAK Matrix. Each comprehensive profile provides a perspective of one provider’s service suite, scale of operations, scope, domain investments, transaction success, delivery locations, and Everest Group’s assessment of the service provider.