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  • Accenture - Healthcare Payer BPS

    Mar 04, 2019 | Vendor Analysis by NelsonHall Analyst

    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 NelsonHall Analyst

    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 NelsonHall Analyst

    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 NelsonHall Analyst

    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 NelsonHall Analyst

    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 NelsonHall Analyst

    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 NelsonHall Analyst

    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 NelsonHall Analyst

    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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  • Expleo/SQS– Next-Gen Testing Services

    Mar 01, 2019 | Vendor Analysis by Dominique Raviart

    Since 2009, Expleo (the former SQS) has transformed its business model, expanding from its background in QA consulting and onshore testing delivery to growing its presence across offshore and nearshore centers, e.g., India, for addressing multi-year managed testing services contracts (managed services, MTS). Expleo has also repositioned its onshore [...]
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  • HGS Healthcare Payer BPS

    Mar 01, 2019 | Vendor Analysis by NelsonHall Analyst

    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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