Clinical and care management service providers are transitioning from labor-intensive, episodic delivery models to AI-enabled, platform-led operating environments that support continuous, longitudinal care. Providers are embedding automation, clinical intelligence, interoperability frameworks, and workflow orchestration into core processes, including utilization management, prior authorization, case management, appeals, and population health. These capabilities enable the preprocessing of clinical work, reduce administrative burden, and improve throughput and consistency while preserving clinician oversight for complex decision-making.
At the same time, providers are building integrated care management ecosystems that connect workflows, data, and engagement layers, enabling continuous monitoring, intervention, and coordination across the patient journey. This shift is supported by investments in AI-enabled documentation, intelligent intake, evidence extraction, and decision-support systems.
However, these transformations introduce constraints, including regulatory and compliance requirements, clinical governance needs, integration challenges across legacy systems, and workforce model redesign. As a result, the market is evolving toward structured, governed adoption of AI within clinical workflows rather than full automation.
The Clinical and Care Management Services Business Process Transformation 2026 RadarView™ aids organizations in identifying service providers that can support this transition. It evaluates provider capabilities across delivery models, technology integration, and operational execution, enabling organizations to identify appropriate partners for clinical and care management transformation.
This RadarView analyzes the following service providers in the clinical and care management services space: Optum, EXL, Cognizant, Accenture, Sagility, Acentra Health, Capgemini, Evolent Health, Omega Healthcare, Shearwater Health, HCLTech, Wipro, EviCore, Transcarent, Conduent, CareCentrix, Health Advocate, Guidehouse, Huron, Infosys, McKinsey, Medecision, Salesforce Health Cloud, Zyter|TruCare, and ZeOmega.
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 spans the two dimensions of practice maturity and future-proofing, leading to recognition of the providers that have delivered the most value to the market over the last 12 months.
About the report (Pages 3–5)
Executive summary (Pages 6–12)
Supply-side trends (Pages 13–19)
Service provider profiles (Pages 20–66)
RadarView overview (Pages 67–70)
Key contacts (Page 71)
Read the Research Byte based on this report. Please refer to Avasant’s Clinical and Care Management Services Business Process Transformation 2026 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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