Carenet Health Named a Major Contender in Everest Group’s 2026 Healthcare Payer Intelligent Operations PEAK Matrix®

SAN ANTONIO--(BUSINESS WIRE)--Carenet Health, a leader in healthcare engagement, has been named a Major Contender in the Everest Group Healthcare Payer Intelligent Operations PEAK Matrix® Assessment 2026.

Everest Group evaluated 33 healthcare payer intelligent operations service providers, assessing each based on market impact and capability. The assessment reflects the growing shift among health plans away from traditional outsourcing models toward intelligent, technology-enabled operations that support greater efficiency, regulatory compliance, and scalability.

Healthcare payers are navigating rising medical costs, more demanding consumer expectations, increasing regulatory complexity, and persistent workforce constraints. According to the report, many are prioritizing end-to-end process orchestration, outcome-linked commercial models, and productive use of generative and agentic AI across core back-office functions in response. Within this evolving market landscape, Everest Group positioned Carenet among the Major Contenders recognized for their focused expertise and delivery capabilities in healthcare payer intelligent operations.

“This recognition reflects Carenet’s continued focus on helping health plans create superior member experiences by quickly implementing modern technologies in ways that are practical, scalable, cost-effective, and grounded in deep healthcare expertise,” said Christopher Rogers, president of Carenet. “As payers face mounting operational and regulatory pressures, our teams are partnering with them to design and deliver AI-powered Intelligent Engagement™ solutions that support better outcomes and long-term resilience.”

In the 2026 assessment, Everest Group notes that Major Contenders are typically characterized by specialized expertise in specific back-office operations, supported by modular, point-based technology interventions. Carenet’s positioning reflects its investment in payer-centric solutions designed to improve efficiency and performance across critical clinical and administrative functions, supporting end-to-end member journey transformation.

This recognition adds to Carenet’s appearance in Everest Group research, including Major Contender placement in the 2025 PEAK Matrix® for Clinical and Care Management Operations Platforms for Payers, as well as the 2024 PEAK Matrix® for Patient and Member Engagement Platforms. All underscore the company’s sustained commitment to orchestrating solutions tailored to the evolving needs of payers, providers, and health service companies.

The full Everest Group Healthcare Payer Intelligent Operations PEAK Matrix® Assessment 2026 is available on the Everest Group website: https://www.everestgrp.com/report/egr-2026-53-r-7925/.

About Carenet Health

Carenet Health is the partner of choice for America’s leading payers, providers, and health technology & services companies – helping them grow and lower costs, as they make healthcare more accessible, affordable and effective. For more than 20 years, we have combined advanced technology, data insights, clinical expertise, and global talent to drive operational efficiency, better experiences, and meaningful business and health outcomes. Learn more about how we’re Powering the Business of Healthcare at carenethealth.com.

About Everest Group

Everest Group is a leading global research firm helping business leaders make confident decisions. Everest Group guides clients through today’s market challenges and strengthens strategies by applying contextualized problem-solving to unique situations across technology, business processes, and sourcing.

Everest Group PEAK Matrix® assessments are research opinions based on Everest Group’s proprietary evaluation framework and do not constitute an endorsement of any service provider. The PEAK Matrix® is a registered trademark of Everest Global, Inc. and is used here in accordance with Everest Group’s published research citation policy.