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Contracts Database

for Healthcare Payer

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

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Healthcare Payer BPS

Insightful Analysis to Drive Your Healthcare Payer Strategy. NelsonHall's Healthcare Payer 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. [...]
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  • 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 [...]
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  • 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 [...]
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  • 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 [...]
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  • 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 [...]
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  • 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. [...]
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  • 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& [...]
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  • 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 [...]
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  • 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 [...]
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  • CSC - Healthcare Payer BPS

    Jan 22, 2016 | Vendor Analysis by NelsonHall Analyst

    This NelsonHall vendor assessment analyzes CSC’s offerings and capabilities in the healthcare payer sector. CSC is one of a number of BPS vendors analyzed in this comprehensive industry analysis. [...]
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Vendor coverage

Covered vendor profiles within the Healthcare Payer program

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NEAT analysis:

Healthcare Payer

Published on: January 4, 2016 by NelsonHall Analyst
This NelsonHall Vendor Evaluation & Assessment Tool (NEAT) analyzes the performance of vendors offering Healthcare Payer 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. Vendors evaluated include Cognizant, Concentrix, CSC, Dell, EXL, Genpact, Hewlett Packard Enterprise, HGS, Infosys, and Xerox Services. To find out more, contact Guy Saunders at [email protected]
request access to NEAT Weighted scores and score breakdown are only available for clients with access. Access is free to the buy-side community, and given upon registration. Please login now or register for NEAT for full access to this functionality

Latest Healthcare Payer Market Forecast

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.

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featured blog posts on
Healthcare Payer:

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latest blog posts on
Healthcare Payer:

  • Rising U.S. Healthcare Costs: Time to Address the Root Causes

    Dec 13, 2018, by Sven Lohse

      The 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[...]

  • Insurance BPS: Delivery & Service Line Trends for 2017

    Feb 09, 2017, by NelsonHall Analyst

      The 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[...]

  • Dell Services: Complementing FTEs with Proprietary AFTE Technology

    Nov 04, 2016, by NelsonHall Analyst

    This 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 ins[...]

  • Wipro Makes Fresh Start in U.S. Healthcare Payer BPS with HealthPlan Services Acquisition

    Feb 12, 2016, by NelsonHall Analyst

    Wipro 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 fro[...]

  • Cognizant Acquires TriZetto to Add ISV Business to its Healthcare Business

    Sep 15, 2014, by Dominique Raviart

    Cognizant is to acquire TriZetto, a healthcare ISV in the U.S., for $2.7bn in cash. TriZetto has a headcount of 3.7k (Cognizant at end of H1 2014: 187k.4). In its last 12 months, TriZetto had $711m in revenues and a non-GAAP operating margin of 18.4% (Cognizant in 2013: 20.6%). TriZetto LTM re[...]

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