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WNS’ Healthcare Consult: Enhancing Clinical Guidance & Authorization Support Services
Aug 16, 2024, by Bilal ChaudhryIn recent discussions with WNS, NelsonHall explored the company's advanced healthcare management solutions. WNS provides evidence-based criteria to guide providers in ordering the most appropriate tests, procedures, and treatments for their members. This approach enhances patient care delivery and outcomes while improving provider relations and reducing healthcare treat[...]
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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[...]
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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[...]
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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[...]
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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[...]
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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 [...]
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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’[...]
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Cognizant Acquires TriZetto to Add ISV Business to its Healthcare Business
Sep 15, 2014, by Dominique RaviartCognizant 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 revenues breakdown by service/product line is: Payer software: 40% (~$277m) Consulting: 23% (~[...]
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Strong Third Quarter for Firstsource As it Continues to Realign its Portfolio
Feb 03, 2014, by NelsonHall AnalystFirstsource has just announced its strongest quarter since FY 2013. Revenue was up 12.1% y/y to Rs. 7,998m (~$128m) and margins increased 210 bps y/y to 9.3%. The margin improvement is due in part to Firstsource’s consolidation of unprofitable accounts in both its customer management business and in domestic accounts in India and Sri Lanka. Telecoms and media, Firstsource&r[...]
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Serco Partners With Bromley Healthcare to Improve and Grow Healthcare Business
Jan 20, 2014, by NelsonHall AnalystSerco has announced a partnership agreement with Bromley Healthcare, an employee-owned social enterprise, to work together in the community healthcare market. Initially the partners will work together to improve quality of community healthcare in Suffolk, with Bromley Healthcare acting in an advisory capacity and supporting clinical leaders. In the long term, they intend to join forces to bid f[...]
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TCS Q3 FY14 Results: TCS Continues to Pull Ahead - What are Its Growth Engines?
Jan 16, 2014, by Rachael StormonthAnother very strong quarter from TCS, with no hint of the slight slowdown in growth that we have seen at Accenture (for its November quarter) and Infosys. If we look at where the growth is coming from: The more established ADM services (where Infosys took its eye of the ball in FY 13) contributed an estimated $173m in additional revenue, or 35.4% of the y/y growth of $490m. (Infosys achie[...]