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for Healthcare & Insurance BPS

Track the pattern of service adoption by monitoring Healthcare & Insurance BPS contract awards by your peers. Identify who are the successful vendors this industry now. Updated monthly!

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Healthcare & Insurance BPS

Insightful Analysis to Drive Your Healthcare and Insurance Process Strategy. NelsonHall's Healthcare & Insurance Sourcing Program is a dedicated service for organizations evaluating, or actively engaged in, the outsourcing of healthcare or insurance industry-specific processes such as policy management, and claims and new business processing. Non-industry specific services such as HR outsourcing are supported within separate dedicated programs.

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latest vendor assessments:

NelsonHall keeps tabs on all these vendors so that you don't have to do so, providing all the analysis of vendor capabilities that you require for shortlist selection

  • Accenture - Healthcare Payer BPS

    Mar 04, 2019 | Vendor Analysis by Sven Lohse

    Branded "Accenture Intelligent Operations", Accenture offers payer (and provider) customers BPS services. Healthcare payer BPS capabilities lie within Accenture's Health and Public Services business unit. [...]
    view this reportdownload abstract

  • Infosys - Healthcare Payer BPS

    Mar 04, 2019 | Vendor Analysis by Sven Lohse

    For healthcare payer BPS, Infosys is almost entirely focused on serving commercial health plans in the U.S. NelsonHall estimates that Infosys serves at least seven commercial health plans. NelsonHall estimates that Infosys healthcare BPS clients (payer and provider) generate less than 5% of Infosys revenue from service lines cross IT and BPS. In [...]
    view this reportdownload abstract

  • NTT Data - Healthcare Payer BPS

    Mar 04, 2019 | Vendor Analysis by Sven Lohse

    NTT DATA’s corporate restructuring does not appear to be disruptive to its health plan BPS business, which is operating with independence and with confidence.  Since 2015, when it acquired Dell Services’ 47 health plan clients, NTT DATA has increased the number of health plan clients by 15 accounts (approximately half are BPS clien [...]
    view this reportdownload abstract

  • Optum - Healthcare Payer BPS

    Mar 04, 2019 | Vendor Analysis by Sven Lohse

    As Optum exceeds $100bn in revenue its growth has slowed from the torrid, double-digit rate of its early years. Priority has shifted toward integration of its product and service offerings from the many components of its growth over the past two decades for different functions of the healthcare ecosystem). Priority continues to be on growth beyond [...]
    view this reportdownload abstract

  • Cognizant - Healthcare Payer BPS

    Mar 01, 2019 | Vendor Analysis by Sven Lohse

    Only a small proportion of U.S. payers fail to do business with Cognizant. Among the top 10 U.S. commercial payers, Cognizant has penetrated every one. Cognizant works with 80% of Blue Cross Blue Shield plans. At the top of the market, therefore, Cognizant's objective is to cross-sell service lines, and where it already has a BPS presence, to e [...]
    view this reportdownload abstract

  • Concentrix -Healthcare Payer BPS

    Mar 01, 2019 | Vendor Analysis by Sven Lohse

    Concentrix’ parent company SYNNEX acquired Convergys in October 2018. The integration of Convergys with Concentrix is underway. Convergys adds horizontal capabilities and scale in managing consumer-facing BPS offerings, including healthcare payer BPS. [...]
    view this reportdownload abstract

  • DXC - Healthcare Payer BPS

    Mar 01, 2019 | Vendor Analysis by Sven Lohse

    DXC's Human Services related government business extends broadly across many agencies and IT systems. DXC is an IT systems integrator, an IT outsourcer, and a vendor of BPS (including claims management "fiscal agency" BPS) to state Medicaid agencies. The legacy HPE ES (via EDS) interChange platform provides a central platform for DXC& [...]
    view this reportdownload abstract

  • EXL Service - Healthcare Payer BPS

    Mar 01, 2019 | Vendor Analysis by Sven Lohse

    With recent acquisitions EXL Service (EXL) has more than doubled its revenue in the U.S. healthcare payer BPS market. In 2017 the company's healthcare payer BPS revenue was estimated by NelsonHall to be $62m, all in the commercial payer segment. With its acquisitions of Health Integrated and SCIO Health Analytics in late 2017 and mid-2018, resp [...]
    view this reportdownload abstract

  • HGS Healthcare Payer BPS

    Mar 01, 2019 | Vendor Analysis by Sven Lohse

    In the last five years, HGS has increasingly focused on serving healthcare clients and has grown healthcare revenue from $115m (FY 2014) to $360m (est. FY2019, ending March 31.) Over that period HGS has grown its healthcare practice from approximately one-quarter of total revenue (28%) to over one half of total revenue (53%). Currently, over 80% of [...]
    view this reportdownload abstract

  • Kane LPI Solutions - Next Generation Life, Annuities, & Pensions BPS

    May 10, 2018 | Vendor Analysis by Suri Nair

    This NelsonHall vendor assessment analyzes Kane LPI's offerings and capabilities in the life, annuities and pensions BPS sector.   [...]
    view this reportdownload abstract
browse all vendor assessments

Vendor coverage

Covered vendor profiles within the Healthcare & Insurance BPS program

featured market analyses
in Healthcare & Insurance BPS:

  • Next Generation Healthcare Payer BPS

    Mar 05, 2019 | Market Analysis by Sven Lohse

    NelsonHall's market analysis "Next Generation Healthcare Payer BPS" details the current state of the market and analyzes the ramifications of the most significant trends for both the buyers and vendors of BPS. Ramifications of trends in the commercial payer market: Unsustainable economic and demographic trends make it likely [...]

    Table of contents:

    • 1. Introduction
    • 2. Changing Shape of the Healthcare Payer BPS Market
    • 3. Customer Requirements
    • 4. Market Size and Growth
    • 5. Vendor Market Shares
    • 6. Vendor Offerings and Targeting
    • 7. Delivery in Healthcare Payer BPS
    • 8. Critical Success Factors
    • Appendix I: Vendors Researched
    view this reportdownload abstract

  • Targeting Life, Annuities & Pensions BPS

    Oct 03, 2018 | Market Analysis by Suri Nair

    NelsonHall's market analysis of the Life, Annuities & Pensions BPS industry and trends consists of 57 pages.  [...]

    Table of contents:

    • 1. Introduction
    • 2. Changing Shape of the Life, Annuities & Pensions Market
    • 3. Customer Requirements
    • 4. Market size and Growth
    • 5. Vendor Market Shares
    • 6. Vendor Offerings and Targeting
    • 7. Vendor Delivery in Life, Annuities and Pensions, BPS
    • 8. Critical Success Factors
    • Appendix I: Vendors Researched
    view this reportdownload abstract

  • Business Process Services in the Commercial Property & Casualty Insurance Sector: 2017

    Dec 21, 2017 | Market Analysis by John Willmott

    NelsonHall’s “Business Process Services in the Commercial P&C Insurance Sector: 2017” 70-page report is based on global interviewing of senior executives across the commercial property & casualty insurance sector in four geographies: U.S., U.K., Continental Europe, and Asia Pacific. In particular, the report analyzes th [...]

    Table of contents:

    • Introduction
    • Objectives
    • Methodology
    • Structure of the Report
    • Executive Summary
    • End-to-End Process Digitalization Is A Key Priority
    • A Widespread Approach to Process Transformation
    • Sector Transformation Creates Additional Opportunities for BPS
    • Market Developments & Forecast
    • Market Forecast
    • BPS Market Shares
    • Key Business Issues & Initiatives
    • Market Change
    • Key Organizational Initiatives
    • Improving the Economics of the business
    • Creating the Digital enterprise
    • Operational Transformation Initiatives
    • Operations Transformation Intentions
    • Operational transformational Initiatives
    • Approach to Operational Transformation
    • Use of BPS to Drive Operational Transformation
    • Impact of PESTLE Factors on Sourcing and Shoring
    • Impact of Automation on Sourcing and Shoring
    • Approach to Automation
    • Implications for Staffing & BPO
    • Overall Trends
    • Reduction in overall resource levels
    • Shifting skills profile
    • Changing expectations from BPS Suppliers
    • Impact of PESTLE Factors
    • Impact on BPS Shoring Profile
    • Impact on Internal Staffing
    • Impact on White-Collar Staffing
    • BPS Spend and Productivity
    view this reportdownload abstract

  • Targeting Property and Casualty BPS

    Apr 24, 2017 | Market Analysis by NelsonHall Analyst

    NelsonHall's market analysis of Property and Casualty BPS consists of 43 pages. [...]

    Table of contents:

    • Introduction
    • Changing Shape of the Property and Casualty BPS Market
    • Customer Requirements
    • Market Size and Growth
    • Vendor Market Shares
    • Vendor Offerings and Targeting
    • Vendor Delivery in Property and Casualty BPS
    • Critical Success Factors
    • Appendix I – Vendors Researched
    view this reportdownload abstract

  • Targeting U.S. Healthcare Provider BPS

    Dec 02, 2016 | Market Analysis by NelsonHall Analyst

    NelsonHall's market analysis of U.S. Healthcare Provider BPS consists of 43 pages. [...]

    Table of contents:

    • Introduction
    • Changing Shape of the Healthcare Provider BPS Market
    • Customer Requirements
    • Market Size and Growth
    • Vendor Market Shares
    • Vendor Offerings and Targeting
    • Vendor Delivery in Healthcare Provider BPS
    • Critical Success Factors
    • Appendix I – Vendors Researched
    view this reportdownload abstract

  • Targeting Life, Annuities and Pensions BPS

    Jun 06, 2016 | Market Analysis by NelsonHall Analyst

    NelsonHall's market analysis of the life annuities and pensions BPS market consists of 49 pages. The report focuses on life annuities and pensions services, looking overall and at each service offering individually.  [...]

    Table of contents:

    • Introduction
    • Changing Shape of the Life, Annuities & Pensions BPS Market
    • Customer Requirements
    • Market Size and Growth
    • Vendor Market Shares
    • Vendor Offerings and Targeting
    • Vendor Delivery in Life, Annuities & Pensions BPS
    • Critical Success Factors
    • Appendix I – Vendors Researched
    view this reportdownload abstract

  • Business Process Services in the Life Insurance Sector: 2016

    Feb 26, 2016 | Market Analysis by John Willmott

    NelsonHall’s “Business Process Services in the Life Insurance Sector: 2016” 64 page report is based on global interviewing of senior executives across the life insurance sector in four geographies: U.S., U.K., Continental Europe, and Asia Pacific. In particular, the report analyzes the principal business issues faced by life in [...]

    Table of contents:

    • Introduction
    • Objectives
    • Methodology
    • Structure of the Report
    • Reducing Cost of Policy Administration through Digitizing & Automating Back-Office Operations is Key Priority for Life Insurance Companies
    • Life Insurance Sector Forecasts 3.2% Increase in BPS Spend in 2016
    • Life Insurance Companies Would Like BPS Vendors to Reduce Process Costs by Using Analytics to Incorporate Process Learning
    • Standalone BPaaS Using Standard Vendor Process Models Strongly Favored by Life Insurance Sector over Next Three Years
    • Life Insurance Market Forecast & Vendor Market Shares
    • Life Insurance BPS Market Forecast
    • BPS Vendor Shares: Life Insurance
    • Key Business Issues & Initiatives
    • Key Business Issues
    • Operational Initiatives Planned
    • Operations Enhancements Planned
    • Operations Satisfaction & Pain Points
    • Process Suitability to Support Future Business
    • Current Satisfaction with BPS Service Delivery and Acceptance of New Delivery Models
    • Satisfaction with Delivery of BPS Services
    • Attitudes to Vendor Approaches
    • BPS Service Improvement Requirements
    • BPS Adoption by Model Type
    • BPS Purchasing & Spend Intentions
    • Forecast Shifts in Sourcing
    • Planned BPS Adoption by Process
    • BPS Spend Growth & Productivity Improvements Sought
    • Changing Contractual Approaches
    • BPS Pricing Mechanism Trends
    • BPS Contract Length Trends
    view this reportdownload abstract

  • Targeting Healthcare Payer BPS in the U.S.

    Dec 22, 2015 | Market Analysis by NelsonHall Analyst

    NelsonHall's market analysis of the healthcare payer BPS market in the U.S. consists of 45 pages. The report focuses on healthcare payer services, looking overall and at each service offering individually.  [...]

    Table of contents:

    • Introduction
    • Changing Shape of the Healthcare Payer BPS Market
    • Customer Requirements
    • Market Size and Growth
    • Vendor Market Shares
    • Vendor Offerings and Targeting
    • Vendor Delivery in Healthcare Payer BPS
    • Critical Success Factors
    • Appendix I – Vendors Researched
    view this reportdownload abstract

  • Targeting Workers' Compensation BPS

    Aug 07, 2015 | Market Analysis by NelsonHall Analyst

    NelsonHall's market analysis of the workers' compensation BPS industry consists of 41 pages. The global workers' compensation BPS market was ~$2.2bn in 2014, and is set to grow at a CAAGR of ~8% through 2019. [...]

    Table of contents:

    • Introduction
    • Changing Shape of the Workers' Compensation Market
    • Customer Requirements
    • Market Size and Growth
    • Vendor Market Shares
    • Vendor Offerings And Targeting
    • Vendor Delivery
    • Critical Success Factors
    • Appendix I – Vendors Researched
    view this reportdownload abstract

  • Targeting P&C BPO in the Automotive Sector

    Oct 22, 2014 | Market Analysis by NelsonHall Analyst

    NelsonHall's market analysis of property and casualty outsourcing in the automotive sector consists of 67 pages. [...]

    Table of contents:

    • Introduction
    • Changing Shape of the Auto P&C BPO Market
    • Customer Requirements
    • Market Size and Growth
    • Vendor Market Shares
    • Vendor Offerings And Targeting
    • Vendor Delivery
    • Critical Success Factors
    • Appendix I – Vendors Researched
    view this reportdownload abstract
browse all market analyses

NEAT Reports are available for this program!

NelsonHall, the leading global BPS analyst firm, now offers a new suite of "speed-to-source" tools to assist Strategic Sourcing Managers in saving time and money, while enhancing the quality of their sourcing decisions in business process services and Healthcare & Insurance BPS.

view all NEAT reports learn more about NEAT

Latest Healthcare & Insurance BPS Market Forecast

  • Global Insurance Market Forecast: 2018 - 2022

    Jun 25, 2018 | Market Forecast by Mike Smart

    NelsonHall's "Insurance Market Forecast: 2018-2022" consists of 44 pages. It is a forecast of Insurance services and is complemented by NelsonHall's self-service forecasting facility which enables users to download forecasts and vendor shares tailored to their needs across any combination of  81 BPS service lines, 39 geo [...]
    view this reportdownload abstract

NelsonHall's Self-Service Forecast Tool

This new tool is aimed at assisting executives in accessing the precise market size, growth, and vendor share information they require rapidly and cost-effectively, in support of more-informed decision-making.

access forecast tool

featured blog posts on
Healthcare & Insurance BPS:

  • The Case for Expanding Provider Network Coopetition Among U.S. Health Plans

    Apr 18, 2019, by Sven Lohse

      In my previous blog, I described how, since 2017, Sutherland has created a shared services model that obviates the need for participating California health plans to separately build and update parallel databases to track the availability of providers of nonurgent care for Medicaid reci[...]

    read post

  • Benefitfocus: Strategy Shift & Other Key Updates

    Apr 11, 2019, by Sven Lohse

      Benefitfocus, the cloud-based benefits management platform and services provider, recently hosted 1,200 benefits professionals at their annual One Place conference in Charleston, S.C. The conference featured updates on Benefitfocus’ strategy, enterprise benefits management t[...]

    read post

  • How Sutherland Facilitated Coopetition Among California Health Plans

    Mar 29, 2019, by Sven Lohse

      In this blog, I look at how Sutherland tackled the challenge of health plans maintaining accurate provider data in the state of California. The challenge: inaccurate health plan data about providers It’s been difficult for health plans in California to maintain accurate, up[...]

    read post

  • CX, RCM & Other Key Takeaways from HIMSS19

    Feb 26, 2019, by Sven Lohse

    NelsonHall recently attended HIMSS19 in Orlando, Florida, the largest healthcare IT conference in the world, with over 45K delegates attending and 1.3K vendors in the exhibition. Here are three highlights from the many conversations we had about the state of the healthcare industry. Obstacles[...]

    read post

  • RPA in Revenue Cycle Management: 3 Lessons Learned by Access Healthcare

    Feb 21, 2019, by Sven Lohse

    The healthcare revenue cycle management (RCM) BPS market is becoming technically more advanced as vendors experiment with RPA to drive greater efficiency and productivity, and to improve competitive positioning. Here I look at one such vendor, Access Healthcare, and the lessons they have learned[...]

    read post
view all blog posts

latest blog posts on
Healthcare & Insurance BPS:

  • The Case for Expanding Provider Network Coopetition Among U.S. Health Plans

    Apr 18, 2019, by Sven Lohse

      In my previous blog, I described how, since 2017, Sutherland has created a shared services model that obviates the need for participating California health plans to separately build and update parallel databases to track the availability of providers of nonurgent care for Medicaid reci[...]

    read post

  • Benefitfocus: Strategy Shift & Other Key Updates

    Apr 11, 2019, by Sven Lohse

      Benefitfocus, the cloud-based benefits management platform and services provider, recently hosted 1,200 benefits professionals at their annual One Place conference in Charleston, S.C. The conference featured updates on Benefitfocus’ strategy, enterprise benefits management t[...]

    read post

  • How Sutherland Facilitated Coopetition Among California Health Plans

    Mar 29, 2019, by Sven Lohse

      In this blog, I look at how Sutherland tackled the challenge of health plans maintaining accurate provider data in the state of California. The challenge: inaccurate health plan data about providers It’s been difficult for health plans in California to maintain accurate, up[...]

    read post

  • CX, RCM & Other Key Takeaways from HIMSS19

    Feb 26, 2019, by Sven Lohse

    NelsonHall recently attended HIMSS19 in Orlando, Florida, the largest healthcare IT conference in the world, with over 45K delegates attending and 1.3K vendors in the exhibition. Here are three highlights from the many conversations we had about the state of the healthcare industry. Obstacles[...]

    read post

  • RPA in Revenue Cycle Management: 3 Lessons Learned by Access Healthcare

    Feb 21, 2019, by Sven Lohse

    The healthcare revenue cycle management (RCM) BPS market is becoming technically more advanced as vendors experiment with RPA to drive greater efficiency and productivity, and to improve competitive positioning. Here I look at one such vendor, Access Healthcare, and the lessons they have learned[...]

    read post
view all blog posts

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