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Genpact - Healthcare Payer BPS

Vendor Analysis

by Sven Lohse

published on May 29, 2019

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Report Overview:

Genpact is a public, global BPS company headquartered in New York City, NY. The company generated approximately $3.0bn in fiscal year 2018. The company serves payers, providers, and life sciences organizations. Genpact serves approximately two dozen payers in front-, middle-, and back-office functions. Clients include five of the top 10 commercial payers and 13 BCBS plans. For mid-tier payers, Genpact provides fewer back-office services and more middle-office claims processing services. Genpact serves very few payers below the top 50 (by membership).

Who is this Report for:

NelsonHall’s profile of Genpact’s Healthcare Payer Business Process Services (BPS) is a comprehensive assessment of service offerings and capabilities designed for:

  • Sourcing managers monitoring the capabilities of existing suppliers to deliver business process services to healthcare payers
  • Vendor marketing, sales and business managers looking to benchmark themselves against their peers
  • Financial analysts and investors specializing in the support services sector.

Scope of this Report:

The report provides a comprehensive and objective analysis of Genpact’s offerings, capabilities, and market presence in support of business process transformation through the application of healthcare payer BPS including the company’s:

  • Offerings and key service components
  • Delivery organization
  • Customer base, including the company’s targeting strategy and examples of current contracts (where available)
  • Revenue estimates for healthcare payer BPS
  • Strategy, emphasis and new developments in support of healthcare payer BPS
  • Strengths and weaknesses.

Key Findings & Highlights:

Genpact is a public, global BPS company headquartered in New York City, NY. The company generated approximately $3.0bn in fiscal year 2018. The company serves payers, providers, and life sciences organizations. It serves about two dozen payers in front-, middle-, and back-office functions. Clients include 5 of the top 10 commercial payers and 13 BCBS plans. For mid-tier payers, Genpact provides fewer back-office services and more middle-office claims processing services, and only a few payers below the top 50. NelsonHall estimates Genpact’s payer BPM revenue from commercial clients in 2018 was about $66m. It focuses on document management, customer service, claims administration, and F&A, and is developing services for regulation and compliance in government health. Genpact offers particular expertise in:

  • Customer/member service
  • Rating and underwriting
  • Product development
  • Distribution
  • Claims administration
  • Provider services
  • Quality and compliance.

Delivery facilities are located in the U.S., India, China, and the Philippines.

Table of contents:

Table of contents:

  • Introduction and Strategy
  • Revenues
  • NelsonHall estimates that Genpact payer BPM revenue from commercial clients in calendar year 2018 was approximately $66m. By building expertise in state and federal regulatory compliance, Genpact may be laying the foundation for expansion into public sector business.
  • Genpact is innovating with gain-sharing and subscription models that include both software and services.
  • Offerings and Capabilities
  • Delivery Network
  • Clients
  • Strengths and Challenges
  • Strengths
  • Challenges

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