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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

  • Cotiviti - Healthcare Payer BPS

    May 17, 2019 | Vendor Analysis by Sven Lohse

    In August 2018, the Waltham, MA-based Verscend Technologies company acquired Atlanta, GA-headquartered Cotiviti Holdings. In the future, the combined entity will operate under the Cotiviti name. [...]
    view this reportdownload abstract
  • CGI - Healthcare Payer BPS

    May 16, 2019 | Vendor Analysis by Sven Lohse

    CGI is a public, global IT and BPM company headquartered in Montreal, Canada. The company generated approximately $8.6bn ($11.5bn Canadian) in fiscal year 2018 (ending December 2018). [...]
    view this reportdownload abstract
  • 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 [...]
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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. [...]
    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
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Vendor coverage

Covered vendor profiles within the Healthcare Payer program

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NEAT analysis:

Healthcare Commercial Payer BPS

Published on: May 1, 2019 by Sven Lohse
This NelsonHall Vendor Evaluation & Assessment Tool (NEAT) analyzes the performance of vendors offering healthcare commercial 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 are: Accenture, Capgemini, CGI, Cognizant, Concentrix, Conduent, Cotiviti, DXC Technology, EXL, Firstsource, Genpact, Hexaware, HGS, Infosys, NTT Data, Optum, Sutherland, TCS, Tech Mahindra, and WNS. To find out more, contact Keith MacLean 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:

  • How NTT DATA Established Enterprise Automation Governance for BCBS Health Insurance Carrier

    Apr 29, 2019, by Sven Lohse

      In 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 i[...]

  • 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[...]

  • 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[...]

  • 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[...]

  • 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[...]

view all blog posts

latest blog posts on
Healthcare Payer:

  • How NTT DATA Established Enterprise Automation Governance for BCBS Health Insurance Carrier

    Apr 29, 2019, by Sven Lohse

      In 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 i[...]

  • 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[...]

  • 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[...]

  • 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[...]

  • 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[...]

view all blog posts

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