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Targeting CMS in the Healthcare Sector (Payer and Provider Support)

Market Analysis

by Vicki Jenkins

published on Jun 30, 2015

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Report Overview:

NelsonHall's market analysis of customer management services in the healthcare sector consists of 62 pages.

Who is this Report for:

NelsonHall's "Targeting CMS in Healthcare" report is a comprehensive market assessment report designed for:

  • Sourcing managers, specifically within healthcare payers and healthcare providers, investigating sourcing developments within customer management services in the healthcare sector
  • Operational decision makers exploring the benefits and inhibitors of customer management services in the healthcare sector
  • Vendor marketing, sales and business managers developing strategies to target CMS opportunities within the healthcare sector
  • Financial analysts and investors specializing in the IT services and BPO sector, including customer management services.

Scope of this Report:

This report analyzes the market for customer management and related services within healthcare payers and healthcare providers. The report addresses the following questions:

  • What is the current and future market for customer management services in the healthcare sector?
  • What are the customer requirements within the healthcare sector and how are they changing?
  • What are the benefits / results vendors have been able to achieve for their clients?
  • What services are healthcare organizations buying from customer management service vendors?
  • What is the size and growth of the customer management services market?
  • Who are the leading vendors within customer management services for healthcare payers and providers?
  • What are the vendor selection criteria, challenges and critical success factors for vendors targeting customer management services in the healthcare sector?



Key Findings & Highlights:

The support of U.S. commercial healthcare payers dominates the use of CMS in the healthcare sector, with healthcare payers requiring a combination of member and provider care, including enrollment and eligibility, and claims adjudication and processing.

Table of contents:

Table of contents:

  • Changing Shape of CMS in Healthcare
  • Customer Requirements – Healthcare Payers and Providers
  • 2.1 Drivers – Healthcare Payers and Providers
  • Benefits Achieved – Healthcare Payers and Providers
  • 3.1 Case Studies – Healthcare Payers
  • Market Size and Vendor Market Shares
  • Vendor Offerings and Targeting
  • CMS Delivery in Healthcare
  • Challenges and Success Factors
  • Appendix I – Vendors Researched

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