Integrated BPO for Healtcare Payers

Health care payers are in a state of flux. New legislative and regulatory mandates are forcing them to reduce operating costs. At the same time, they are challenged to improve benefits coverage, raise customer satisfaction levels, and shift from a disease management approach to a wellness strategy. These changes will benefit members by improving population health and ensuring quality customer service. Payers will net positive results, too, as this new strategy requires them to:

• Reduce administrative costs and capital expenditures
• Integrate multiple systems
• Gain access to skilled resources
• Ensure business continuity
• Improve information accuracy and availability
• Strengthen shareholder value

To accomplish these objectives, payers are evaluating strategic alternatives to help them align and improve their Per Member, Per Month revenues and expenses. Many are choosing Business Process Outsourcing (BPO) to manage selected functions such as customer service, back office workflow, claims administration, and data management. Health care payers who partner with Sutherland leverage the strategic advantage of a BPO company with unparalleled experience and expertise in health information technology. Our integrated healthcare solution helps payers provide quality customer service, maximize operational efficiency, and minimize their medical loss ratio.

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