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Top 10 Healthcare BPO – 2023
One of the most significant trends shaping the evolution of healthcare business process outsourcing (BPO) is the increasing use of cloud-based platforms and automation tools. It is allowing healthcare organizations to outsource tasks such as data entry, claims processing, and customer service to specialized BPO companies. In addition, there is a growing emphasis on data security and compliance, as healthcare organizations seek to protect sensitive patient information and meet regulatory requirements. In the wake of these trends, the global healthcare BPO market that was valued at $334.15 billion in 2021 is projected to reach $755.76 billion by 2030, growing at a CAGR of 9.49 percent.
Among the factors driving this market growth, cloud-based platforms deserve a special mention. They enable healthcare organizations to store and access data remotely, which reduces the need for on-site data centers and servers. It can lead to significant cost savings and improved data management. Additionally, cloud[1]based platforms facilitate collaboration between healthcare organizations and their BPO partners, allowing for more efficient communication and coordination. It also enables BPO companies to leverage advanced analytics and machine learning technologies to process and analyze large volumes of data. This allows for more accurate and timely insights into healthcare processes, which can help to identify areas for improvement and optimize workflows.
To put the spotlight on such key developments in the industry, Healthcare Business Review illustrates how companies are leveraging the latest developments in healthcare BPO to enhance organizational performance. The edition also features thought leadership articles from Ruben Rodriguez, Program Director of Post-Acute & Reactivation Care at Humber River Hospital, Alfredo Morales, MD, MHA, Director of Virtual Care, North Mississippi Health Services, and Derek Novak, MBA, President, Population Health Services, at MercyOne, who shed light on various trends in the healthcare BPO industry, including key developments in the future of long-term care, the impact of virtual care in rural America, and the transition to value-based care.
In this edition of Healthcare Business Review, we also bring to you the story of some of the top healthcare BPO companies that deliver the best outcomes for their clients. The list comprises Catalyst Solutions that has partnered with health plans, for over two decades, to provide business process outsourcing and consulting services. It also features Goodworks that helps home healthcare organizations lower operational turbulence and free healthcare workers from back-office tasks.
Through the following pages, we aim to shine a light on the innovative trends and latest developments in the healthcare BPO industry. We would like to know your thoughts.
Nominate a Company
Usually, the qualified subscribers of our magazine nominate companies with whom they have collaborated and experienced exceptional results to be in this list. Did a company you recently worked with give you stellar results and ROI? Did it turn out to be one you would wholeheartedly recommend to peers? Or do you know of such an outstanding company through your network? Please fill in the details below and nominate them to be featured here.
Top Healthcare BPO
For over two decades, Catalyst Solutions has partnered with health plans to provide business process outsourcing and consulting services. Its clients serve all lines of business and range from start-up health plans to the largest payers in the country. The company’s mission is to help plans improve healthcare outcomes, gain efficiencies, and drive down costs.
With almost 25 years of experience in the healthcare industry, Catalyst has broad and deep knowledge relating to payer technology and payer operations
—Suraya Yahaya, Chief Operations Officer and Scott Martin, President
Catalyst Solutions
Management
Suraya Yahaya, Chief Operations Officer and Scott Martin, President
Goodworks provides operational support for home healthcare and hospice agencies. It turns healthcare agencies’ non-clinical operational friction into its organizational focus. It reduces operating expenses and agency time spent on repetitive, time-intensive workflows and regulatory compliance burdens, enabling your staff to focus on ‘top of pay rate' responsibilities
Erik Bailey, PresidentHaving worked in the healthcare industry for the past ten years, I’ve recognized the need for home healthcare agencies to have specialized, non-clinical, back-office support. This is even more true, in the most recent years where turnover is high and finding high-quality new hires is difficult. We have consistently turned our clients’ operational friction into our organizational focus
CEC
Clinical Excel Computech (CEC) is a leading global business process outsourcing (ITeS) company. The firm has a proven track record of offering services that deliver business value to the world’s leading companies. CEC is a trusted market leader valued by its clients, employees, business partners, investors, and communities
ABC Marketing Services
ABC Marketing Services offers innovative call center solutions and successful campaigns in help desk, customer care, technical support, surveys, appointment setting, outbound sales, and lead generation in many verticals. The firm has the expertise to design, build, and manage customer sales acquisition solutions that enable its clients to exceed their revenue goals
INF Healthcare
INF Healthcare offers revenue cycle management and staffing solutions to healthcare organizations. With advanced, best-in-class technology and a competent team of professionals, they are proficient in meeting their clients dynamic needs. INF Healthcare has been serving industry leaders for over a decade, functioning across hospitals, health systems, physician groups, DMEPOS suppliers, surgical and ambulatory care centers, and dental practices
KM2 Solutions
Founded by David Kreiss (K), and Myers brothers (M²) in 2004. KM2 Solutions has established itself as a provider of high-quality contact center services. The company has been delivering clients best-in-class BPO services and serving nearshore communities with stable career opportunities
Medibox MSO
Medibox MSO is the leading medical billing service provider in the United States, with over seven years of industry experience in healthcare revenue management. The company has been providing customized solutions with innovative management for laboratories, individual physicians, groups, and organizations of all sizes
ONQ
ONQ is a leading patient services call center service provider and was the first company founded by experienced healthcare executives dedicated to the needs of physician groups, hospitals, and billing companies. ONQ’s call center was designed to provide patients with the highest levels of customer service
Shearwater Health
Shearwater Health is trusted by the nation's leading healthcare organizations. The company strives to be the leader in efficient, scalable, and accessible healthcare solutions and uses global delivery to provide custom clinical solutions at scale to hospitals, health plans, managed care, life sciences, and absence management organizations
Transparent BPO
Transparent BPO is an outsourcing company that offers contact center services, health benefits, and business process outsourcing. The firm's in-depth training and management system ensures and offers an array of inbound voice services designed to support its clients' business goals
