featured posts:
-
Price Transparency in Healthcare Payer BPS Market: Capgemini Spotlight
Aug 02, 2021, by NelsonHall AnalystIn 2020, the U.S. healthcare payer BPS market saw accelerated growth in the adoption and design of digital solutions across all functional areas. The acceleration is driven mainly by consumer demand for an "Amazon" experience from their health plans and providers, to know the cost of care for associated benefit plans to assist in plan selection or inform decisions about ele[...]
-
COVID-19: Driving a New Normal for Healthcare, A Cognizant POV
Oct 13, 2020, by NelsonHall AnalystDigital front doors and transparency a new normal for healthcare? U.S. healthcare is no stranger to an environment of continuous change and has not been spared the effects of the COVID-19 global pandemic in 2020. The unique circumstances born from the need for social distancing during the pandemic have accelerated healthcare consumers' demands for digital transformation. The ask comes f[...]
-
35% of Insurance Carriers Will Adopt AI Across Multiple Use Cases by 2022
Apr 06, 2020, by NelsonHall AnalystNelsonHall predicts that by 2022, 35% of insurance industry carriers will be in the process of adopting AI technology across multiple use cases within the enterprise. This is based on NelsonHall survey data from the insurance industry that tracks adoption of both RPA and AI (NLP/ML/DL) technology across the property & casualty, health insurance, and life & annuities insurance[...]
-
Infosys Showcases Resiliency of Nearshore Outsourcing Services in Face of Natural Disasters
Jan 23, 2020, by NelsonHall AnalystA magnitude-6.4 earthquake struck Puerto Rico on January 6, killing one person, toppling homes and buildings, and triggering a blackout on the island that is still recovering two years after Hurricane Maria. Governor Wanda Vázquez declared a state of emergency and activated the Puerto Rico National Guard to help with recovery efforts. How might this earthquake disaster have[...]
-
Insurance Start-Up Convex Group Contracts with WNS to Target Cost Ratio of 10%-11%
Dec 04, 2019, by NelsonHall AnalystConvex Group is a start-up specialty insurer and reinsurer focused on complex risks, launched with $1.8bn of committed capital in April 2019. Convex will underwrite insurance and reinsurance for “complex specialty risks across a diversified range of business lines” in London and Bermuda. The company aims to adopt a conservative investment strategy with a predominantly hig[...]
-
WNS’ Healthcare Business & Approach to Transformation
Jun 03, 2019, by NelsonHall AnalystDozens of influencers recently attended the WNS U.S. Influencer Day in New Orleans, where the theme was 'Co-create to Outperform’. Through general overviews of its approaches and through client presentations, the company provided insight into its recent success and its future plans. The backdrop for the conference was cheery, buoyed by 7% annualized growth over the prior fi[...]
-
How NTT DATA Established Enterprise Automation Governance for BCBS Health Insurance Carrier
Apr 29, 2019, by NelsonHall AnalystIn this blog, I look at how NTT DATA worked with a large Blue Cross Blue Shield (BCBS) health insurance carrier to establish an enterprise governance structure for automation, and at the lessons learnt along the way. Like many other large BCBS carriers, the company had piloted RPA initiatives, and from the somewhat frustrating results of these experiments, it had formed two conclu[...]
-
The Case for Expanding Provider Network Coopetition Among U.S. Health Plans
Apr 18, 2019, by NelsonHall AnalystIn 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 recipients. The company estimates that through its consortium of member health plans it has reduced a[...]
-
Benefitfocus: Strategy Shift & Other Key Updates
Apr 11, 2019, by NelsonHall AnalystBenefitfocus, 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 technology platform, and partners from its ecosystem; and presented an opportunity to learn from[...]
-
How Sutherland Facilitated Coopetition Among California Health Plans
Mar 29, 2019, by NelsonHall AnalystIn 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-to-date information on the current status of providers in the state. According to outsourcing vendo[...]
-
CX, RCM & Other Key Takeaways from HIMSS19
Feb 26, 2019, by NelsonHall AnalystNelsonHall 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 to improving CX The conversation about “consumer experience” in healthcare organizat[...]
-
RPA in Revenue Cycle Management: 3 Lessons Learned by Access Healthcare
Feb 21, 2019, by NelsonHall AnalystThe 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 from their own RPA initiatives. Access Healthcare generates ~$145m in revenue delivering RCM BPS[...]
-
Rising U.S. Healthcare Costs: Time to Address the Root Causes
Dec 13, 2018, by NelsonHall AnalystThe challenge of rising healthcare costs in the U.S. has been obvious for decades. Or has it? Various interventions have been attempted, but health costs as a percentage of GDP are forecast to continue to climb. National U.S. healthcare expenditure as a percentage of GDP has risen from 17.2% in 2011 to 17.9% in 2017. In February 2018, the U.S. CMS Office of the Actuary estimated t[...]
-
U.S. RCM Outsourcing Services Market Ripe for Consolidation
Sep 21, 2018, by NelsonHall AnalystThe healthcare revenue cycle management (RCM) outsourcing services market in the U.S. seems ripe for disruption and consolidation. The macro factors include: Contraction in the number of hospital locations and hospital systems Speedy erosion in the number of small, independent physicians’ practices Increasing complexity in reimbursement models and processes Increasi[...]
-
SE2’s Digital Transformation: Enabling Future-Proof Life Insurance & Annuities
Oct 19, 2017, by NelsonHall AnalystNelsonHall recently attended the SE2 Partnership Forum, entitled ‘Future-proof: From Here to Digital’, in Washington D.C., where the main focal point of discussion was the challenge of digital transformation in the life insurance and annuity sector. Here I look at a number of developments in SE2’s offerings that are helping clients to address the challenge of dig[...]
-
Wipro: Applying RPA to Insurance Claims & New Business, Looking to Holmes to Support KYC
Jun 23, 2016, by NelsonHall AnalystThis is the first in a series of blog articles looking at how business process outsourcing vendors are applying RPA and AI in the insurance sector. First up: Wipro. Wipro started its automation journey in the late noughties and has since gone on to set up a dedicated RPA practice, and also developed its own AI platform, Wipro Holmes. Currently, Wipro is principally partn[...]
-
Wipro Makes Fresh Start in U.S. Healthcare Payer BPS with HealthPlan Services Acquisition
Feb 12, 2016, by NelsonHall AnalystWipro announced yesterday it is to acquire Tampa-based HealthPlan Services (HPS) from Water Street Healthcare Partners for $460m, including a $20m deferred consideration. HPS' 2015 revenues were $223m. It has achieved a CAAGR of 38% in the last three years, driven both from adding new healthcare payers and from the increase in individuals or groups eligible for[...]
-
Process Automation, Analytics & Consumer-Centricity: the Keys to Healthcare Payer BPS
Jan 07, 2016, by NelsonHall AnalystThe U.S. healthcare payer BPS market is relatively mature, but is also shifting towards changes driven primarily by the Affordable Care Act (ACA), the growing Medicaid and Medicare population, and advancements in technology offerings. Activity is primarily driven by the need for claims administration support with the use of automation services, member engagement services, and improved clinical ana[...]
Subscribe here to receive
free blog alerts for this blog:
-
Insurance BPS: Delivery & Service Line Trends for 2017
Feb 09, 2017, by NelsonHall AnalystThe insurance outsourcing industry is moving at a fast pace in response to the need for rapid deployment of digital platforms and offerings, as well as advancements in new distribution models that are emerging via ‘insurtech’ start-ups. Here I take a look at some of the key trends driving the insurance BPS market in 2017, both in terms of delivery and transformation, and [...]
-
Dell Services: Complementing FTEs with Proprietary AFTE Technology
Nov 04, 2016, by NelsonHall AnalystThis is the fourth in a series of blogs on vendors’ RPA initiatives in the insurance sector. We now turn our attention to Dell Services, which has adopted an automation focus across its life and healthcare insurance BPS processes. Focusing on healthcare payer & provider and life insurance process automation In 2016, life insurance accounts for around 30% of Dell Services’[...]
-
SE2 Eyes Growth through Platform Enhancement & Life Insurance Market Expansion
Sep 21, 2016, by NelsonHall AnalystAt SE2’s Partnership Forum in Boston last week, the main theme was ‘FutureProof’, and specifically how to prepare and guard your company from regulatory and operational uncertainties. In effect, the life and annuities insurance BPS vendor is future proofing itself by investing heavily in its infrastructure, middleware, and platform capabilities to address its own fu[...]
-
Angled At Analytics: The New EXL Makes Three Acquisitions In Seven Months And Insures a Health-y Start to 2015
Feb 27, 2015, by NelsonHall AnalystWhat a difference a year makes for EXL. It entered 2014 under the cloud of the loss of two contracts, including the unfortunate termination Travelers (which had accounted for nearly 10% of total revenues in 2013) because of inappropriate behavior by an employee. So it started the year facing significant revenue headwinds. A year later, EXL delivered full year 2014 revenues that beat revise[...]
-
NelsonHall Launches NEAT Vendor Evaluation and Assessment Tool for P&C Insurance BPO in the Automotive Sector
Dec 01, 2014, by NelsonHall AnalystNelsonHall, the leading global BPO and IT outsourcing analyst firm, has today launched a new tool to assist strategic sourcing managers in assessing vendor capability in Property & Casualty Insurance BPO for the automotive sector. The NelsonHall Vendor Evaluation and Assessment Tool (NEAT) for P&C BPO in the automotive sector is now available to NelsonHall clients, and is also available[...]
-
Quindell: Positive End to 2014 as Canada Leads Adoption of Quindell's Telematics Technology
Oct 22, 2014, by NelsonHall AnalystSo far, 2014 has been a mixed year for Quindell; it faced damning speculation from Gotham City Research in April (which has since been rejected) and a failed partnership with the RAC in September, which would have seen ingenie’s telematics services being made available to all drivers, not just 17 to 25 year olds, from July. On the plus side, there has also been a number of signi[...]
-
NIIT: Insurance Product Launch
Sep 26, 2014, by NelsonHall AnalystNIIT is set to launch its latest offering to the insurance market next week, in the form of an upgraded policy and claims administration system which will join its existing set of insurance tools. NIIT has delivered IT services to its Lloyds of London clients for some 20-years, using its insurance specific tools: Subscribe: NIIT’s existing policy administration platform, a multi-cur[...]