BPaaS (Payer)
The outsourcing of specific administrative and operational health plan processes (such as claims adjudication, member enrollment, provider data management, and prior authorizations) delivered via standardized, configurable platforms with embedded automation and analytics. Rather than managing these functions internally or through traditional BPO models, payers can subscribe to modular services that are hosted, maintained, and improved by third-party vendors, allowing faster innovation and scalability. This segment specifically looks at vendors who can provide more end-to-end services.
Subject Expert
Mark Allphin
Vice President of Sales
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Performance Data
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Reducing Filters
Unlike sizing filters, reducing filters DO NOT recalculate scores based on the evaluations that meet these requirements. They narrow the list of solutions to show the vendors and solutions that can meet a specific need.
This data is based on interviews with a sample of the firms' recent clients. As a result, it is not necessarily comprehensive of all work a firm may do in this segment.
We require a minimum of 2 confirmations of a service performed in the last 3 years for a solution to qualify.