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CAPABILITY


Health Management BPO

Our health management BPO professionals improve care quality and deliver results—such as saving $42 million in hospital costs and $30 million in nursing costs.

Overview

Health providers, payers, benefit managers and government agencies face rising medical costs, declining operations and rising readmission rates.

Our services help them expand their health management programs and deliver existing services in a more efficient and cost-effective manner.

Leveraging our deep experience in BPO and extensive global delivery network, Accenture provides a high-quality global care management workforce that includes licensed nurses, as well as other highly trained clinical and non-clinical staff. We provide offshore clinical talent recruitment, development and retention, along with experience in managing cultural diversity.

Leading healthcare companies are looking to build and run high-performing health management programs that improve health quality and outcomes while increasing consumer and provider engagement.


Specific Services

Our Health Management BPO services span the entire continuum of care and include:

  • Utilization Management—This includes precertification and concurrent review, as well as post-service review.

  • Care Coordination—Health outreach and education provides health risk assessments, program enrollment and referral, and discharge planning support.

  • Support Services—Spanning analytics, reporting, quality reviews and benefit determination.

We can help identify new revenue opportunities, improve care quality, and reduce medical and administrative costs for clients.

Infographic

Video: Our services

HEALTH MANAGEMENT BPO SERVICES

We helped manage readmissions by reaching out to more than 14,000 discharged patients in one year to survey for gaps in care, saving up to $42 million in medical costs.


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Business Process Outsourcing