Provider Service Offerings
Healthcare Provider Industry Challenges
- Globally, at least 60% of the Healthcare Providers are unprofitable and depend on funding from charities and donations to deliver quality care to patients
- Rising energy costs coupled with the possibility of a 10.6% cut in the claim payouts by CMS post-2009 pose challenges to the US Healthcare Provider industry that is seeking newer avenues to cut costs, increase revenues and remain profitable
- Rising healthcare costs have resulted in an increased focus on preventive care and disease management. Providers face challenges in addressing manpower and skill shortage to undertake disease management analytics, reporting and implementation of disease management programs.
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In addition, the US Healthcare Provider industry faces challenges such as:
- Lower capacity but increased hospital utilization owing to an aging population
- Lack of standard systems and processes in billing and collections leading to an estimated over US$ 20 billion in write-offs
- Increased focus on Pay for Performance by Healthcare Payors to decide on payouts and the lack of intelligent data analytics to comply with Pay for Performance norms imposed by Healthcare Payors
The Infosys BPO Healthcare outsourcing solution offers HIPAA-compliant Business Process Outsourcing services across the value chain to positively impact Healthcare Providers.
The Infosys BPO Advantage
- Strong Analytics and Reporting capabilities provide patient market segmentation analysis, patient needs analysis, industry benchmark reporting and Pay for Performance analytics services that drive Market Definition and Payor Contract Management strategies
- Impeccable record of supporting over 900 business processes across 44 clients over six years focused on continuous business process improvements that drive standardization of provider processes and adoption of best practices
- Shorter Knowledge Transfer and Business Process Transition timelines through an existing pool of healthcare trained resources that can be deployed in a very short timeframe
- Leverage robust collections capability across industries for processes of Member Collections
- Flexible pricing models to address client-specific requirements
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Healthcare offerings