The healthcare industry is transforming rapidly, driven by rising costs, stricter regulations, and a growing emphasis on member experience. This pressure highlights the need for healthcare payers to improve efficiency and effectiveness, especially in light of recent cybersecurity incidents such as the one involving Change Healthcare. Robust information security protocols are essential in this complex environment, where innovative solutions can streamline operations, ensure scalability, and deliver cost-effective care.

Amid these challenges, Business Process as a Service (BPaaS) has emerged as a transformative force in healthcare. BPaaS offers a new approach to managing administrative and clinical tasks, leveraging platform-based solutions, deep healthcare expertise, and cutting-edge technology to empower healthcare payers. By embracing BPaaS, organizations can streamline processes, achieve greater scalability, and pursue operational excellence. In this report, we explore the role of BPaaS solutions within the healthcare payer landscape. It provides a comprehensive analysis of the challenges that healthcare enterprises face and demonstrates how BPaaS can effectively address them. The report offers insights into various BPaaS solutions, including their core elements and the outcomes they deliver. Additionally, it examines successful use cases of specialized BPaaS solutions designed to address specific pain points. Furthermore, the report highlights the increasing adoption and potential of BPaaS-led transformation in payviders. Lastly, it provides guidance on evaluating and selecting BPaaS solution providers to navigate the evolving healthcare landscape effectively.

Scope

• Industry: healthcare
• Geography: global

Contents

In this report, we examine:

• The challenges in the enterprise market and how BPaaS can help solve these issues
• Broad-based BPaaS solutions, including their key elements and the operational efficiency benefits they offer
• Specialized BPaaS solutions, highlighting successful use cases and targeted approaches to address specific pain points
• The unique intersection of BPaaS in payviders, including Provider Sponsored Health Plans (PSHPs)
• BPaaS’ role in navigating the ever-evolving terrain of the healthcare landscape

Membership(s)

Healthcare Payer and Provider Business Process

Outsourcing Excellence