The report offers a comprehensive analysis of how service providers are transforming healthcare operations, with a particular focus on clinical and care management functions. It defines the scope of transformation services and evaluates 18 top-tier providers across various dimensions such as virtual care, utilization management, and population health. Key supply-side trends include a workforce shift from traditional utilization management to integrated, multispecialty care teams; growing investments in training and certifications; and broader service offerings through strategic partnerships. The report also highlights the increasing adoption of generative AI in core care management workflows. It features detailed profiles of major vendors, including Accenture, EviCore, EXL, Cognizant, HCLTech, and others. Supporting sections provide an overview of RadarView methodology, classification criteria, and key contacts.
Providers are moving away from traditional utilization management-heavy models. Instead, they are adopting multispecialty teams centered on virtual, preventive, and behavioral care. To tackle workforce shortages, many are investing in training academies, fast-track certifications, and academic collaborations. A significant portion of revenue—64%—is now generated from very large clients, indicating robust demand across market segments. Additionally, service providers are expanding into integrated healthcare ecosystems through partnerships and diversified capabilities. Generative AI is being actively deployed across core functions such as utilization management, case management, and population health, enhancing both efficiency and outcomes.
The Clinical and Care Management Business Process Transformation 2025 RadarView™ aids companies in identifying top service providers to transform their clinical and care management services. It also analyzes each service provider’s technology and delivery support capabilities, enabling organizations to identify the right strategic partners for their clinical and care management services transformation.
This RadarView includes a detailed analysis of the following service providers offering clinical and care management services: Accenture, Accolade, Acentra Health, CareCentrix, Cognizant, Conduent, , EXL, HCLTech, Health Advocate, Omega Healthcare, Optum, Quantum Health, Sagility, Shearwater Health, Telligen, Wipro, and WNS.
Our evaluation of service providers is based on primary input from the providers, focused briefings, public disclosures, and Avasant’s ongoing market interactions. The assessment is across the three dimensions of practice maturity, domain ecosystem, and investments and innovation, leading to our recognition of those service providers that have brought the most value to the market over the past 12 months.
About the Clinical and Care Management Services Business Process Transformation 2025 RadarView (Page 3)
Executive summary (Pages 4–8)
Supply-side trends (Pages 9–15)
Service provider profiles (Pages 16–52)
RadarView overview (Pages 53–56)
Key contacts (Page 57)
Read the Research Byte based on this report. Please refer to Avasant’s Clinical and Care Management Business Process Transformation 2025 Market Insights™ for detailed insights on demand-side trends.
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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