The payment integrity market is strategically shifting from post-payment recovery to proactive pre-payment accuracy, thereby reducing costs and enhancing efficiency. AI-driven tools are advancing fraud detection, real-time claims validation, and predictive risk modeling, while next-generation technologies, such as blockchain, are being explored for transparency. The industry is also seeing stronger collaborations among solution providers, healthcare organizations, and regulators to build integrated ecosystems. Additionally, cloud-based platforms are gaining traction and reinforcing the drive toward automation, efficiency, and improved payment accuracy in an evolving healthcare landscape.
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Payment Integrity Solutions PEAK Matrix® Assessment 2025
Scope
- Industry: healthcare
- Geography: global
Contents
This report analyzes 24 payment integrity solutions providers and includes their:
- Relative positioning on Everest Group’s PEAK Matrix® for payment integrity solutions
- Capabilities and market shares
- Key strengths and limitations
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Payment Integrity Solutions PEAK Matrix® Assessment 2024
In this report, we analyze 18 payment integrity solutions providers featured on the Payment Integrity Solutions PEAK Matrix®. The report positions providers’ market shares relative to each other and evaluates their strengths and limitations. The study will enable healthcare payers to identify suitable providers to transform their business processes and differentiate themselves.
Scope
- Industry: healthcare
- Geography: global
- The assessment is based on Everest Group’s annual RFI process for the calendar year 2023, interactions with leading payment integrity solutions providers, client references, and Everest Group’s ongoing analysis of the payment integrity solutions market
Contents
This report analyzes 18 payment integrity solutions providers and includes:
- Providers’ relative positioning on Everest Group’s PEAK Matrix® for
- Payment Integrity Solutions
- Providers’ capabilities and market shares
- Key strengths and limitations
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What is the PEAK Matrix®?
The PEAK Matrix® provides an objective, data-driven assessment of service and technology providers based on their overall capability and market impact across different global services markets, classifying them into three categories: Leaders, Major Contenders, and Aspirants.
