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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 Payer BPS: Managing Effectiveness

Market Analysis

by Ashley Singleton

published on Apr 27, 2021

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Report Overview:

NelsonHall's market analysis of the Healthcare Payer BPS Services consists of 64 pages. 

Who is this Report for:

NelsonHall’s healthcare payer BPS managing effectiveness report is a comprehensive market assessment report designed for:

  • Sourcing managers monitoring the capabilities of existing suppliers of digital services and healthcare payer BPS effectiveness services and identifying vendor suitability for RFPs
  • Vendor marketing, sales, and business managers looking to benchmark themselves against their peers
  • Financial analysts and investors specializing in the healthcare payer BPS sector.

Scope of this Report:

The report analyzes the U.S. market for healthcare payer BPS effectiveness management services and addresses the following questions:

  • What is the market size and projected growth for the U.S. healthcare payer BPS services?
  • What is the profile of activity in the U.S. healthcare payer BPS services market?
  • What are the top drivers for adoption of U.S. healthcare payer BPS effectiveness management services?
  • What are the benefits currently achieved by users of healthcare payer BPS effectiveness management services?
  • What factors are inhibiting user adoption of healthcare payer BPS effectiveness management services?
  • Who are the leading healthcare payer BPS effectiveness management services vendors in the U.S.?
  • What combination of services is typically provided within healthcare payer BPS effectiveness management services contracts and what new services are being added?
  • What is the current pattern of delivery location used for healthcare payer BPS effectiveness management services and how is this changing?
  • What are the challenges and success factors within U.S. healthcare payer BPS effectiveness management services?

Key Findings & Highlights:

NelsonHall’s market analysis of the U.S. healthcare payer BPS services market consists of 64-pages. The report provides a provides a view of how vendors are evolving their offerings and capabilities to improve healthcare payer BPS managing effectiveness services.

U.S. healthcare payer BPS effectiveness management services are enabling clients to utilize RPA, AI/ML, and analytics to improve customer service administration, reduce processing and turnaround times, reduce operational costs, and improve volume and process quality. Key user requirements include process redesign and domain expertise, application of advanced analytics, and ability to offer cloud-based solutions.

Vendors are increasingly focused on intelligent automation to bring process efficiencies, digital personalization through advanced analytics, process redesign and client-specific solution design. Vendors are continuing to expand and increase partnerships with IT vendors for “plug-in” solutions and platforms, and academic institutions for talent skilling and domain expertise.

Key investment areas include a focus on partnerships with telehealth providers to integrate or design virtual care solutions to offer comprehensive support to clients in the functions of care management, wellness offerings, and member behavior interventions.

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Healthcare Payer BPS 2021

published 2021-06-11 | Project by Ashley Singleton

This NelsonHall Vendor Evaluation & Assessment Tool (NEAT) analyzes the performance of vendors offering healthcare payer business process services. The NEAT tool allows strategic sourcing managers to assess the capability of vendors across a range of criteria and business situations and identify the best performing vendors overall, and with specific capability in plan design & enrollment, member services, claims & billing, provider management, and operations transformation. Vendors evaluated for this NEAT are: Capgemini, Cognizant, Conduent, Exela Technologies, EXL, Gainwell Technologies, Genpact, HGS, Infosys, NTT DATA, Wipro, and WNS. To find out more, contact Guy Saunders at [email protected]
view NEAT report all NEAT reports about NEAT