Clinical and Care Management Business Process Transformation 2025 Market Insights™

June, 2025

This report identifies key demand-side trends in the clinical and care management business process transformation (BPT) space, helping enterprises fine-tune their clinical operations. It provides an overview of key observations and business challenges that Avasant considers important to highlight in the clinical and care management outsourcing space.

Why read this Market Insights?

Clinical and care management services are evolving to address growing care complexities, workforce shortages, and demands for value-based outcomes. Organizations are adopting data-driven, patient-centered models that integrate care coordination, utilization management, and digital health tools. With AI and analytics embedded into clinical workflows, these systems are becoming more proactive, enabling timely interventions and improved care navigation. The focus is shifting from reactive care to intelligent, continuous engagement that enhances quality, reduces costs, and supports scalable delivery across diverse populations.

The Clinical and Care Management Business Process Transformation 2025 Market Insights™ provides a view into important market trends and developments, helping build a granular understanding of the clinical and care management business process transformation ecosystem.

Methodology

The market insights presented in this report are based on our ongoing interactions with enterprise CXOs and other key executives, targeted discussions with service providers, subject matter experts, and Avasant fellows, analyst insights derived from primary and secondary research, and lessons learned from consulting engagements.

Table of contents

About the Clinical and Care Management Services Business Process Transformation 2025 Market Insights report (Page 3)

Executive summary (Pages 4–7)

    • Definition and scope of clinical and care management  services
    • Key clinical and care management services market trends shaping the industry
    • Avasant recognizes 18 top-tier service providers offering clinical and care management business process transformation services

Demand-side trends (Pages 8–14)

    • Gen AI drives efficiency and productivity in clinical operations while addressing workforce gaps, payor friction, and the shift to value-based, whole-person care.
    • Zero-touch intelligence revolutionizes healthcare by shifting from manual tasks to AI-driven support, improving efficiency, accuracy, and patient outcomes.
    • Whole-person care integrates clinical staff, digital tools, and SDOH insights to improve patient outcomes and reduce costs.
    • Telehealth is scaling fast, with investments shifting to integrated, AI-powered RPM platforms for proactive, data-driven chronic care.
    • Interoperability standards such as FHIR enhance data sharing and care coordination in US health systems.

Key contacts (Page 15)


Read the Research Byte based on this report. Please refer to Avasant’s Clinical and Care Management Business Process Transformation 2025 RadarView™ for detailed insights on service providers and supply-side trends.

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DISCLAIMER:

Avasant’s research and other publications are based on information from the best available sources and Avasant’s independent assessment and analysis at the time of publication. Avasant takes no responsibility and assumes no liability for any error/omission or the accuracy of information contained in its research publications. Avasant does not endorse any provider, product or service described in its RadarView™ publications or any other research publications that it makes available to its users, and does not advise users to select only those providers recognized in these publications. Avasant disclaims all warranties, expressed or implied, including any warranties of merchantability or fitness for a particular purpose. None of the graphics, descriptions, research, excerpts, samples or any other content provided in the report(s) or any of its research publications may be reprinted, reproduced, redistributed or used for any external commercial purpose without prior permission from Avasant, LLC. All rights are reserved by Avasant, LLC.

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