Business Process Services

Healthcare BPO: Improving patient outcomes

We deliver intelligent health operations that improve patient outcomes, keep costs under control and increase consumer and provider engagement.

What we do

We help our clients drive breakthrough growth by combining deep healthcare delivery experience and subject matter expertise with analytics, automation, artificial intelligence and innovative talent. We help payers, providers and government agencies increase provider, member and group satisfaction, improve health outcomes and reduce costs. We help our clients grow revenue through cost optimization, reduced dependency on legacy systems and enhanced ability to reallocate savings to care management for improved outcomes.

We embed digital transformation in operations end-to-end, driving superior outcomes and value realization today, while enabling streamlined operations to serve the emerging health care market of tomorrow.

Intelligent automation achieved 100 percent transactional and financial accuracy
Up to 70 percent productivity gains on targeted claims due to intelligent automation
Claims analytics drove $140M in medical cost savings
Achieved 25 percent to 50 percent accuracy improvement when pairing our applied intelligence human+machine capabilities

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Accenture Operations Presents Intelligent Health Operations

Accenture's video shares how we deliver the 5 essentials of Intelligent Operations to transform Health organizations. See more.

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Our healthcare BPO services

Claim Services

Our global claims professionals have worked across 18 clients to drive over $3 billion in administrative and medical cost savings.

Membership Services

We deliver the quote-to-card process, driving up to 60% reduction in enrollment turnaround time and improved predictability through proactive management.

Provider Services

We improve data accuracy, reduce turnaround time and pended claims volume to enable better provider relationships and improved compliance.

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Utilization Management

We deliver consumer and provider engagement and improved health outcomes through prior authorization intake, clinical claim review and appeals support.

Population Health

Our services include health risk assessments, outreach, program enrollment and referrals, patient support services and care coordination quality reviews.

Care Value

Member and provider outreach helps improve patient outcomes through education and support to address gaps in care and medical record services.

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Why work with us

$13M

Applied analytics to improve cash flow by $13 million

$140M

Helped a client to save nearly $140 million in total medical costs by using Accenture Advanced Health Analytics Platform

$15M

Automation helped to strategically process claims, limiting late and inaccurate payments and avoid more than $15 million in penalties

1,000+

Reduced costs by $30 million per year, a 33% reduction, by scaling 1,000+ non-clinical and licensed nurses in the Philippines, India and US

What we think

Client engagement is now a virtual experience

Client engagement is now a virtual experience

Step inside our centers to see our people innovate to deliver outcomes using 360° virtual reality.

Healthcare gets a shot in the arm

Business Process Services

Healthcare gets a shot in the arm

Accenture research identifies three keys to transforming healthcare organizations.

The future belongs to intelligent operations

Business Process Services

The future belongs to intelligent operations

Agility, flexibility, and responsiveness enhance and optimize the customer experience.

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Case studies

CAQH transforms delivery of customer support

Business Process Services

CAQH transforms delivery of customer support

How CAQH is simplifying healthcare administration and delivering world-class service.

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News

Top industry analysts believe Accenture’s innovation-led approach helps clients reimagine the role of Healthcare Operations.

Accenture named a leader in Everest Group Healthcare Operations PEAK Matrix Assessment

Buyers have praised Accenture’s healthcare domain expertise and the proactiveness of its high-level executives.

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Accenture recognized as a leader in healthcare analytics services by everest group

Accenture has been positioned as a Leader in the inaugural Everest Group Healthcare Analytics Services PEAK Matrix ™ Assessment 2019.

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Accenture helps northside hospital drive down energy and telecom costs

Accenture is helping Northside Hospital generate millions of dollars in savings by transforming supply chain and procurement operations.

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Meet our lead

Connect with us

Read our blog

How organizations are reinventing their business with Intelligent Operations

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Explore Careers

We're looking for innovators to deliver continuous, rapid-fire innovation and new business capabilities at Accenture Operations

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Capabilities

Virtual tour

Take a 360º virtual tour through our Intelligent Operations Centers.

Intelligent finance operations

We help transform finance from transactional to strategic with an intelligent operating model.

SynOps

A unique Human-Machine Operating Engine that transforms business operations and delivers results.

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