Carenet Health Recognized as Major Contender in Everest Group’s 2025 PEAK Matrix® for Clinical and Care Management Operations Platforms
Carenet Health has been formally recognized as a Major Contender in the 2025 PEAK Matrix® Assessment conducted by Everest Group for Clinical and Care Management (CCM) Operations Platforms tailored for payers. This prestigious recognition underscores Carenet Health’s leadership and innovation in the healthcare technology space, positioning the company as a trusted partner for payers seeking to enhance operational efficiency, patient engagement, and meaningful clinical and business outcomes.
The Everest Group PEAK Matrix® is widely regarded as one of the most authoritative and objective evaluations of global CCM operations providers. The framework assesses organizations across multiple dimensions, including market impact, vision and strategy, operational capabilities, and innovation potential. By evaluating providers on both quantitative and qualitative parameters, the PEAK Matrix® serves as a critical resource for healthcare payers looking to identify strategic technology partners capable of driving modernization, transformation, and long-term value creation in care management operations.
John Erwin, Founder and CEO of Carenet Health, expressed his pride in the recognition, stating, “Once again, we are proud to be recognized by Everest Group for our Care Management solutions and capabilities. Our AI-enabled Intelligent Engagement platform empowers the Top 100 payers to improve both business and health outcomes through advanced predictive modeling, intelligent automation, and proven clinical expertise.” Erwin’s statement highlights the company’s ongoing commitment to innovation and its focus on leveraging technology to address the evolving needs of the healthcare industry.
The Transforming CCM Market
The CCM operations market is experiencing significant transformation, driven by a combination of rising healthcare costs, growing complexity in care delivery, and increasing pressure on payers to improve patient outcomes while optimizing operational efficiency. Patients navigating the healthcare system face multiple challenges, including fragmented care, inconsistent access to clinical resources, and difficulties in understanding their benefits and treatment pathways. At the same time, payers are confronted with escalating medical costs, workforce shortages, and the growing financial risk associated with value-based care contracts.
Value-based care adoption is accelerating, compelling payers to seek solutions that integrate predictive risk modeling, AI-powered insights, and intelligent automation into established care management workflows. These solutions aim to identify at-risk populations early, optimize care coordination, reduce unnecessary medical utilization, and improve overall clinical outcomes. The current market dynamics have increased the demand for platforms that not only enhance operational efficiency but also drive measurable improvements in health outcomes, patient satisfaction, and provider productivity.
Carenet Health’s recognition as a Major Contender reflects its ability to address these challenges through a combination of innovative technology, clinical expertise, and evidence-based interventions. By combining advanced analytics, AI-driven predictive modeling, and deep clinical knowledge, Carenet enables payers to identify and proactively manage high-risk populations while delivering personalized care interventions.
Carenet’s AI-Powered Platform
At the core of Carenet Health’s care management offering is its AI-enabled Intelligent Engagement platform. This platform leverages predictive modeling, advanced analytics, and intelligent automation to help payers and care managers make data-driven decisions, optimize resource allocation, and deliver targeted interventions to patients at the right time. Through its sophisticated algorithms, the platform can anticipate care needs, predict risk trajectories, and recommend personalized interventions that improve health outcomes while reducing unnecessary costs.
One of the platform’s notable capabilities is its ability to reduce unnecessary Emergency Room (ER) visits. By guiding patients to the most appropriate site of care, Carenet ensures that individuals receive timely and effective medical attention while avoiding costly and potentially avoidable ER utilization. This capability exemplifies the integration of technology and clinical expertise to deliver tangible value for both payers and patients.
The platform’s predictive analytics capabilities also enable payers to identify patients at risk of hospitalization, manage chronic conditions more effectively, and allocate care resources strategically. By embedding clinical best practices within its workflows, Carenet empowers care teams to act proactively, rather than reactively, thereby enhancing patient outcomes and improving overall system efficiency.
Innovation and Investment
Carenet Health’s recognition by Everest Group as a Major Contender is a reflection of the company’s sustained investment in innovative care management technology and clinical capabilities. The organization has focused on building solutions that not only support operational efficiency but also drive measurable health outcomes. By integrating AI, predictive modeling, and automation into its care management workflows, Carenet has positioned itself as a leader in next-generation CCM operations solutions.
In addition to technological innovation, Carenet has emphasized the importance of clinical expertise in achieving superior outcomes. The company’s team of experienced clinicians works alongside its technology platforms to ensure that interventions are evidence-based, personalized, and effective. This combination of technology and clinical insight allows Carenet to deliver interventions that are both precise and scalable, addressing the needs of diverse patient populations across multiple payer organizations.
Track Record of Recognition and Leadership
Carenet Health’s recognition in the 2025 PEAK Matrix® follows its previous acknowledgment as a Major Contender in the 2024 Everest Group assessment for Patient and Member Engagement Platforms. This consecutive recognition highlights Carenet’s continued leadership in healthcare technology innovation and underscores its commitment to co-creating value with leading healthcare organizations.
The PEAK Matrix® assessment for 2025 evaluated 20 leading CCM operations providers, examining their strengths, limitations, and differentiating capabilities across key functional areas such as patient administration, care management, and outcome optimization. Carenet’s placement as a Major Contender demonstrates its proven ability to deliver enterprise-level solutions that balance efficiency, compliance, cost-effectiveness, and high-quality care coordination.
Implications for Payers and the Healthcare Industry
For payers, Carenet Health’s recognition signals a trusted and capable partner that can support enterprise-wide care management transformation initiatives. By leveraging Carenet’s platform, payers can address pressing operational challenges, including rising medical costs, fragmented care delivery, and the need for enhanced patient engagement. The company’s solutions are designed to improve both the clinical and financial outcomes of healthcare programs, enabling payers to meet the demands of an increasingly complex and value-driven healthcare environment.
As the healthcare landscape continues to evolve, the integration of AI, predictive analytics, and intelligent automation into care management operations will become increasingly critical. Payers require partners who can combine technological innovation with clinical expertise to deliver solutions that are scalable, effective, and aligned with emerging healthcare trends. Carenet Health’s recognition by Everest Group validates the company’s ability to meet these requirements and positions it as a preferred partner for payers seeking to modernize their care management strategies.
