{"id":1234,"date":"2013-07-30T11:00:00","date_gmt":"2013-07-30T11:00:00","guid":{"rendered":"http:\/\/localhost\/projects\/horsesforsources\/healthcare-payer-blueprint_073013\/"},"modified":"2013-07-30T11:00:00","modified_gmt":"2013-07-30T11:00:00","slug":"healthcare-payer-blueprint_073013","status":"publish","type":"post","link":"https:\/\/www.horsesforsources.com\/healthcare-payer-blueprint_073013\/","title":{"rendered":"Accenture, Xerox and Cognizant make the Winners Circle to support October&#8217;s healthcare chaos"},"content":{"rendered":"<p><strong>This October, the Affordable Care Act is poised to disrupt the healthcare industry in seismic fashion, whereupon the entire world of the healthcare payers will be turned on its head:<\/strong><\/p>\n<p style=\"padding-left: 30px;\"><strong>*The traditional B2B model is switching to a B2C model: \u00a0<\/strong>Payers now now have to cater for millions of individuals, in addition to thousands of companies with &#8220;cookie-cutter&#8221; solutions. \u00a0In effect, they now have to sell to, market to and manage consumers, in addition to their traditional corporate clients.<\/p>\n<p style=\"padding-left: 30px;\"><strong>*Health plans must now being priced very, very differently differently:<\/strong> \u00a0The only variable inputs will be age, geography, family size, and tobacco use, while past history will and pre-existing conditions will no longer be taken into account. \u00a0Millions of new people will be entering the health insurance market, with vastly increased regulation on how payers &#8216; revenues can be allocated.<\/p>\n<p>This will matter for<em> everyone<\/em> \u2013 service providers, buyers, and pretty much anyone living in the United States. \u00a0These reforms will affect the healthcare payers the most, as they seek to cope with the monumental challenges needed to improve product operations, engage with the customer differently, optimize processes, and contain not only administrative costs, but medical costs too. \u00a0The three service providers that we found best placed currently to service the healthcare payers are Accenture, Xerox, and Cognizant:<\/p>\n<div id=\"attachment_14033\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/www.horsesforsources.com\/wp-content\/uploads\/2013\/06\/HCP_BlueprintAxis.png\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-14033\" title=\"HCP_BlueprintAxis\" src=\"http:\/\/www.horsesforsources.com\/wp-content\/uploads\/2013\/06\/HCP_BlueprintAxis-e1375197593718.png\" alt=\"\" width=\"575\" height=\"431\" \/><\/a><\/p>\n<p class=\"wp-caption-text\">Click to Enlarge<\/p>\n<\/div>\n<p>The <a href=\"http:\/\/www.hfsresearch.com\/hfs-blueprint-report-bpo-market-landscape--2013\" target=\"_blank\" rel=\"noopener\">Healthcare Payer Blueprint<\/a> utilizes our Blueprint Methodology, which measures both execution and innovation against a set of crowdsourced criteria derived from the <a href=\"http:\/\/www.hfsresearch.com\/State-of-the-Outsourcing-Industry-2013-Executive-Findings\" target=\"_blank\" rel=\"noopener\">State of the Outsourcing Survey 2013<\/a>. We assessed data from over 155 live multi-process healthcare payor BPO engagements to ascertain provider market shares, depth of client base, breath of execution and geographic scope of delivery. We examined the healthcare payer value chain (claims, service, marketing and sales, medical management, etc.) and interlaced what we know will be important to Healthcare Payers in the dramatically evolving healthcare industry with the capabilities and vision of the service providers in our assessment.<\/p>\n<p style=\"text-align: justify;\">Our analyst team conducted exhaustive interviews with multiple buyers and market advisors to help score providers against each other across all the sub-categories of the Blueprint using <a href=\"http:\/\/expertchoice.com\/\" target=\"_blank\" rel=\"noopener\">ExpertChoice<\/a>, an advanced statistical analytics platform. We also received a tremendous amount of cooperation from (almost) all of the providers above, as we went through this exhaustive process to understand their concrete plans for the future, get really deep with their current client relationships, their overall vision and their appetite to evolve and invest into higher-value areas of Healthcare Payer BPO.<\/p>\n<p style=\"text-align: center;\"><strong><span style=\"font-size: medium;\">HfS Subscribers can download their <a href=\"http:\/\/www.hfsresearch.com\/hfs-blueprint-report-bpo-market-landscape--2013\" target=\"_blank\" rel=\"noopener\">full copy of the 2013 Healthcare Payer Competitive Analysis Blueprint<\/a><\/span><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This October, the Affordable Care Act is poised to disrupt the healthcare industry in seismic fashion, whereupon the entire world&#8230;<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[48,64,65,78],"tags":[303],"organization":[],"ppma_author":[19],"class_list":["post-1234","post","type-post","status-publish","format-standard","hentry","category-business-process-outsourcing-bpo","category-healthcare-and-outsourcing","category-hfs-blueprint-results","category-hfsresearch-com-homepage","tag-enterprise-irregulars"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Accenture, Xerox and Cognizant make the Winners Circle to support October&#039;s healthcare chaos - Horses for Sources | No Boundaries<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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