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Healthcare BPO: Improving patient outcomes

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

TOTAL ENTERPRISE REINVENTION

The strategy that leads to a new performance frontier

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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.

 

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.

 

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

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Operations

Reinventing enterprise operations

Explore how optimizing operations can help organizations access a new performance frontier.

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Business Process Services

The value multiplier

Discover how organizations can double their chances of future-ready operations in the next 3 years.​
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Operations

Client engagement is now a virtual experience

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

News

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

Meet our lead

Theresa Gaffney

Managing Director – Health, Operations, Growth & Strategy
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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.

Health consulting​

We help clients deliver more effective and affordable healthcare with Insight Driven Health.

SynOps

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