Infosys BPM Healthcare practice
Is your enterprise looking for innovative ways to improve cost and quality of healthcare? Do you want to enhance operational efficiency and administrative effectiveness? Will integrated IT-BPM solutions help address the needs of your emerging business model? We can help.
At Infosys BPM, we combine our strong domain expertise, flexible operating model, and integrated IT-BPM solutions to address the changing dynamics of the healthcare industry. Our solutions are designed to:
- Transform operating models
- Improve business performance
- Standardize processes with reduced costs
Healthcare insurers have been leveraging our service capabilities across the payer value chain and different lines of business. We help them:
- Reduce administrative costs to manage rising healthcare expenses, shrinking profitability, and medical loss ratio (MLR) mandates
- Address pent-up demands that arise from growth in membership caused by public and private exchanges across various processes including benefit coding, enrollment, claims, and contact center services
- Follow a transformational approach instead of a transactional one to meet the requirements of a growing individual / retail market
- Implement payment integrity programs to determine both prospective and retrospective overpayments that address fraud, waste, and abuse
- Address operational challenges while implementing new models of care delivery and reimbursements
- Provide data analytics support to implement effective wellness programs
- Enable insights from analytics to identify care gaps and scale outreach activities
Our capabilities
Over the years, we have established business processes for commercial, Blues, and Medicaid payers. Here is a snapshot of our team and capabilities:
- Serve more than 31 global clients across business and technology services, 5 of the top 10 commercial payers and 7 of the top 10 Blues Plan payers
- Reach over 30 million members through healthcare BPM services across the payer value chain
- Utilize more than 10,000 resources; more than 3000 are AHIP-certified professionals
- Process multimillion claims every year across commercial and government-funded programs
- Set up more than 10,000 benefit plans across various lines of business
- Provide new-age services such as contact center optimization and social media presence management
Awards
As a testimony to our efforts and expertise, we have won several accolades by noted analysts:
- High Performer in Healthcare Payer BPM Blueprint, 2013 – HfS
- Major Contender in Healthcare Payer IT Outsourcing – Gartner
- Healthcare’s Hottest Companies for 2013 – Healthcare Informatics
