Hosted BPO offering delivers world class administrative and care
management capabilities for the healthcare payer market
From the AHIP Institute 2009 Conference in San Diego: Patni
Computer Systems, Ltd. (NYSE:PTI)(BSE:PATNI COMPUT)(NSE:PATNI), a
leading global IT and BPO services company, today announced ‘Claims as a
ServiceTM’ (CaaS), an innovative solution specifically
designed for the healthcare payer market.
Available for immediate delivery, CaaS is a hosted solution powered by
TriZetto’s QNXT™ core administration platform that combines their market
leading software technology with Patni’s world-class IT and BPO
services. The offering supports the complete claims life cycle from
intake, through adjudication, to customer service including mailroom and
fulfillment services, claims processing, enrollment and eligibility
maintenance, member services, premium billing, reconciliation, provider
maintenance and post payment audits. Any of these services can be
selected on an ala carte basis enabling healthcare payers to provide
administrative and care management functions at an affordable cost
without compromising on quality.
The CaaS pricing includes all costs of transition from the existing
system and is based on the number of members serviced on a monthly
basis. The highly flexible, subscription-based structure allows a client
company to support continuing growth while taking advantage of
attractive price breakpoints.
According to a recent Gartner Report by Maureen O'Neil, of Feb 26th,
2009, “Healthcare Insurance BPO Market Ready to Take Off,” "CIOs
of U.S. healthcare insurers are more frequently considering BPO as a
strategic option... This increased interest is spurred by the need for
cost savings, a desire to focus on core competencies and the diminishing
pool of legacy trained talent…As healthcare insurers look for cost
optimization solutions, as well as strategies to grow and transform
their businesses, the BPO market in 2009 is poised to offer both. "
The current economic, regulatory and political environment is mandating
strict adherence to claims processing times on the part of payers.
Out-of-date systems, insufficient knowledge in current technology and
limited budgets, put many healthcare providers at risk for being
non-compliant.
