Business Process Services

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

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Our 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 & 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 & 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

Accenture research identifies three keys to transforming healthcare organizations.

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

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News

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

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.

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.

Accenture Named to Winner’s Circle as Innovation Leader in Healthcare Business Operations

Accenture has been named to the ‘Winner’s Circle’ of HfS Research’s Healthcare Business Operations Blueprint Report.

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

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