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Healthcare BPO: Improving patient outcomes

What we do

Accenture Operations Presents Intelligent Health Operations

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

The value multiplier

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

Fast-track to future-ready

Applying tech-driven operational intelligence across an organization leads to greater profitability.

Client engagement is now a virtual experience

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

Case studies

CAQH transforms delivery of customer support

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

News

Meet our lead

Theresa Gaffney

Managing Director – Health, Operations, Growth & Strategy

Connect with us

Read our blog

How organizations are reinventing their business with Intelligent Operations

Follow us on Twitter

Join the conversation

Explore Careers

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

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.