Three Technology Shifts Behind the Outsourcing Demand
1. Making Healthcare Systems Work Together
A laboratory result is most useful when the care team can access it when needed. The same is true of imaging reports, clinical records, and information shared with insurers. Yet when these systems operate separately, staff may need to re-enter data, search across applications, or wait for records to arrive.
Connecting them requires more than adding another interface. Healthcare organizations need standards-based integration, secure data exchange, and consistent information management. Technology partners can help build those connections and maintain them as applications and workflows evolve.
For software development companies, this broadens the assignment: the application they build must work within the organization’s wider healthcare environment.
2. Turning Healthcare Data into Useful AI and Analytics
Better-connected systems also create opportunities to put healthcare data to work. Organizations are exploring AI and analytics to automate administrative tasks, improve patient engagement, and support operational decisions.
The difficult part is moving from an experiment to a tool that fits everyday work. Useful results depend on reliable data, integration with existing applications, and appropriate human oversight. An AI feature has limited value if staff cannot trust its inputs or use its output within their normal workflow.
This creates demand for partners who can combine software engineering with data preparation, analytical tools, and performance monitoring. Their role extends from developing the technology to helping it operate reliably in practice.
3. Supporting Care Beyond the Hospital
Patient portals, telemedicine, and remote monitoring are extending healthcare services beyond physical facilities. Cloud modernization can support these services by connecting applications across locations and providing infrastructure for changing workloads.
Making that transition takes careful architecture, migration, and testing. Once services are running, organizations still need monitoring, maintenance, and security management to keep them available and responsive.
As a result, outsourcing demand spans the full technology lifecycle. Healthcare organizations need help launching digital services and sustaining them while managing privacy, availability, and operating costs.
Where Healthcare Organizations See the Greatest Need
These technology shifts raise a practical question: which parts of healthcare IT are generating the greatest need for external support?
The CMI report examines demand through application and end-user categories. Under its published classifications, payer outsourcing covers hospital information systems, laboratory information systems, radiology information systems, electronic medical records, and other types. Provider outsourcing includes revenue cycle management systems and healthcare analytics. End users are grouped into healthcare, pharmaceutical & biotechnology, and others.
Within that framework, payer outsourcing leads the application categories, while healthcare holds the largest end-user share. Both point to the importance of maintaining and modernizing systems that organizations depend on every day.
Why Payer Outsourcing Takes a Central Role
CMI projects payer outsourcing to account for 55% of the market in 2026, making it the report’s leading application category.
The information systems included in this classification require substantial development and maintenance. Updating them can involve migrating records, linking laboratory and imaging information, and testing connections with administrative workflows. Installing software is only one part of that work.
External partners support the engineering, integration, and testing behind these changes, then help maintain applications after implementation. That combination of modernization projects and continued support helps explain the category’s central role in the report.
How Everyday Healthcare Needs Sustain Demand
CMI expects the healthcare segment to hold around 60% of the market in 2026, the largest share among its end-user categories.
For hospitals, clinics, diagnostic centers, and digital care providers, software supports documentation, scheduling, billing, patient communication, and telemedicine. As these functions become more connected, a change to one application may require work across several systems.
Outsourcing gives these organizations access to specialized skills for managing that complexity. Demand also continues after launch: the applications supporting daily care need maintenance, updates, and dependable technical support.
What’s Creating New Opportunities in U.S. Healthcare IT
The U.S. illustrates how these needs translate into development opportunities. Hospitals and insurers operate complex clinical, claims, and patient engagement systems, creating demand for modernization, secure information exchange, and more efficient administration. Regulatory requirements add to the implementation work.
One example is Cognizant’s May 2026 introduction of AI-agent access to TriZetto Unify, beginning with electronic prior authorization in U.S. healthcare. The initiative enables AI agents to support administrative workflows through governed interfaces while retaining human oversight.
For development companies, initiatives of this kind point to opportunities in integration, workflow automation, testing, and implementation support. For healthcare organizations, they also sharpen the partner-selection question: who can deliver the technology while understanding the workflows and controls it must operate within?
From Large IT Providers to Specialized Engineering Partners
CMI’s competitive landscape includes Oracle Corporation, Siemens Healthineers, Infosys Limited, Dell Technologies, Philips Healthcare, Accenture, Cerner, Tata Consultancy Services (TCS), McKesson Corporation, and IBM, among others. The mix spans clinical information systems, medical technology, infrastructure, and large-scale IT services, reflecting the breadth of healthcare IT outsourcing.
Alongside these market participants, specialized engineering firms offer services in platform development, integration, analytics, and digital transformation. Their relevance depends on the project: a healthcare organization connecting existing records may need different capabilities from a startup developing a patient-facing product.
The eight profiles below offer a starting point for exploring the development capabilities available across this market.
Top Healthcare Software Development Companies
As healthcare systems become more complex, choosing a software development company involves more than checking technical skills. The organizations need companies that understand healthcare workflows and can support systems throughout their lifecycle. The following companies provide services in platform development, integration, analytics, and digital transformation.
1. Edenlab
Edenlab is a leading healthcare engineering company recognized for building complex medical platforms and interoperability layers, as well as large-scale digital health infrastructures. Their work is grounded in strong system architecture, standards-based development, and real-world healthcare expertise, thus making them a reliable partner for government programs, payers, hospitals, and digital health innovators.
Edenlab delivers healthcare solution development services that have end-to-end product engineering, from discovery and architecture to implementation and integration, as well as long-term support. The company is especially strong in FHIR-native development, health data pipelines, clinical repositories, and secure data exchange across organizations. Edenlab’s solutions are planned for scalability, high load, and compliance, supporting everything from national-level eHealth initiatives to enterprise-grade healthcare platforms that require reliability and long-term maintainability.
2. EPAM Systems
EPAM Systems is a global engineering leader with a strong healthcare as well as life sciences practice. The company develops enterprise-grade software for hospitals, insurers, pharmaceutical businesses, and healthtech startups. EPAM’s teams build telehealth systems, patient engagement platforms, digital therapeutics, and workflow automation tools, as well as cloud-based clinical applications. Their strength lies in delivering large-scale transformation programs that modernize legacy systems while maintaining security along with compliance. EPAM is a strong fit for complex projects requiring deep engineering capacity and mature delivery processes, as well as global rollout support.
3. Reenbit
Reenbit is a software development company based on the use of artificial intelligence, data engineering, cloud technologies, and the creation of custom software all within one delivery approach. The company was set up in 2018 and carries out its operations in Ukraine, Canada, and Poland, offering its services to startups, scale-ups, and well-established businesses that require secure, scalable, and data-intensive digital products.
Reenbit provides end-to-end software development services, which include AI and machine learning consulting, the development of custom AI solutions, data engineering, business intelligence, cloud modernization, and enterprise software engineering. The company has a special strength in cases where AI relies on a reliable data infrastructure, a scalable cloud architecture, and well-integrated business systems. Because it has a team of more than 100 technology specialists and benefits from being a Microsoft Partner as well as holding ISO and ISTQB certifications, Reenbit assists the organizations in progressing from strategy and experimentation towards production-ready implementation in the fields of fintech, healthcare, logistics, e-commerce, and the other industries that are focused on innovation.
4. Cognizant
Cognizant is one of the largest global healthcare IT providers, aiding the organizations in modernizing operations through custom software development, systems integration, cloud transformation, and automation. Cognizant builds the solutions for payers (claims systems, member portals, analytics) and providers (workflow tools, patient engagement, reporting). The company has extensive experience in value-based care enablement, administrative automation, and large-scale healthcare enterprise environments. Cognizant is often selected by organizations looking for end-to-end delivery—from strategy and engineering to managed services and optimization.
5. SoftServe
SoftServe is known for building modern healthcare software powered by cloud platforms, analytics, and AI, as well as IoT. The company delivers solutions such as remote patient monitoring systems, digital diagnostics, telemedicine platforms, and medical imaging tools, as well as patient-facing applications. SoftServe’s teams usually work on data-intensive healthcare systems where interoperability and analytics readiness are important. Their innovation focus as well as strong R&D capabilities make them a good choice for organizations that want to build next-generation digital health products or modernize clinical systems with AI-driven insights.
6. ScienceSoft
ScienceSoft is an established healthcare software development company providing custom solutions across EHR/EMR, patient portals, telehealth, and billing systems, as well as hospital management tools. Their engineering process targets security along with compliance, thus making them a strong partner for healthcare organizations that need reliable software delivery under strict regulatory requirements. The firm also aids integration with third-party systems and medical devices. They are usually chosen for the projects that require stable development, clear documentation, and long-term support.
7. Intellectsoft
Intellectsoft develops the healthcare applications and enterprise systems designed to improve patient experience and optimize operational workflows. Their services cover mobile health apps, telemedicine platforms, appointment systems, and provider dashboards, as well as patient engagement solutions. Intellectsoft pays special attention to user experience and interface design to help the organizations deliver digital healthcare tools that are easy to adopt and intuitive. They also include analytics and automation features to facilitate optimized communication, triage workflows and performance monitoring.
8. LeewayHertz
LeewayHertz targets building innovative healthcare software using emerging technologies such as blockchain, AI, and IoT. They develop decentralized medical data platforms, secure patient record systems, remote monitoring solutions, and intelligent clinical tools. LeewayHertz is often selected by the organizations and startups exploring next-generation architecture and advanced security concepts. Their experience with the emerging tech makes them a good partner for the teams that want to create differentiated healthtech products, especially where data integrity as well as automation are strategic priorities.
Choosing a Partner for What Comes Next
Healthcare IT outsourcing is being shaped by a practical need: digital services must work together and remain dependable as care evolves. Connected systems, AI, and cloud-supported services each create new possibilities, but they also require sustained engineering and operational support.
For organizations evaluating partners, the starting point is a clear view of the work ahead. Is the priority connecting fragmented records, modernizing an existing platform, introducing analytics, or expanding digital care? That answer should guide the shortlist and the questions asked of each company.
