Our expertise delivers significant cost improvements and efficiencies that enable payers to adapt to new industry requirements and focus on increasing enrollment, while improving health outcomes and exploring new market opportunities.
Health Administration: Accenture is a high impact, forward thinking and trusted partner of Payer industry leaders, helping them address government mandated industry transformations and traditional business imperatives associated with cost, quality, risk management and speed to market by delivering a range of highly differentiated, asset powered services including advice, development, and operations.
Accenture’s Health Administration Services delivers acknowledged market leading value in three key areas:
Payer Operations: Accenture helps large Health Plans reduce cost and improve quality of Health Administration across our Group Services, Claims, and Provider Network offerings. Supported by our analytics and workflow assets, Accenture focuses on creating insight and improving outcomes through consulting, system integration, and Business Process Outsourcing (BPO) services.
Health CRM: Accenture delivers digital capabilities to help clients determine how to acquire, retain, grow and engage their member base all while improving profitability, through greater customer centricity and customer engagement, in an increasingly competitive marketplace.
Health Insurance Exchange (HIX): Accenture’s HIX offering provides a complete range of management consulting, system integration and software services to serve the HIX Ecosystem—state exchanges, private exchanges and health payers. The offering leverages consumer insight, exchange model development, operational design, system implementation, operations and analytics.
Accenture’s Health Administration Services utilize the full extent of Accenture’s resources across our Management Consulting, Technology and BPO capabilities. Services include:
Health Payer Operations Group Services
Health Payer Operations Claims
Health Payer Operations Network
Health CRM Sales
Health CRM Marketing
Health CRM Customer Service
Health Insurance Exchange