What We Do
Generating Healthcare Impact
Healthcare payers are responding to the disruption caused by rising healthcare costs, changing patient demographics, stringent regulations, industry consolidation and empowered consumers with unprecedented digital transformation efforts.
Genpact partners with over 70 healthcare companies, including the top four US national payers. We harness best practices and deep domain expertise across the continuum of care delivery—payers, providers, and life sciences and durable medical equipment providers - to harness digital's full potential in improving efficiency, customer satisfaction and retention, managing risk and compliance, and providing the agility necessary to compete.
Genpact's solutions accelerate the realization of step-change outcomes through a practical use of digital, focusing on material sources of impact and avoiding the rest, leveraging a unique combination of design thinking and lean principles. We call this approach Lean DigitalSM. Our solutions include:
Healthcare Claims Operations
Genpact helps healthcare payers design, transform, and run end-to-end claims operations to achieve greater efficiency in back- and front-office operations, while reducing the administrative cost of claims and claims leakage and improving provider and member satisfaction.
We help healthcare payers and providers adapt key processes such as product development, membership and billing, claims processing, and customer service operations by leveraging end-to-end technology solutions including consulting, enterprise application services, and infrastructure management services.
Finance & Accounting Services
Genpact finance and accounting services include accounts payable, general accounting, accounting, closing and reporting (ACR), treasury, tax services, financial planning and analysis, and F&A Systems of Engagement.
Research content and presentation services, marketing sales and services analytics, information science analytics, risk analytics, and finance and accounting analytics, with customized solutions for the healthcare industry such as analytics for population health management and accountable care organizations.
Transformation & Consulting
Genpact’s Transformation and Consulting team enables healthcare payers with discrete process transitions and holistic enterprise transformations through integrated process technology services (IPTS), Lean Six Sigma, global business services, and change management applied to accountable care organization, revenue cycle management, population health management and regulatory change.
A major healthcare payer saved US$80 million through the implementation of an analytics-led fraud detection model capable of spotting potentially fraudulent or erroneous claims.
A US payer entity increased collections by 179% by eliminating revenue leakages after the implementation of an end-to-end collections process redesign solution that employed analytics and real-time reporting.
A leading pharmacy benefits management company generated a business impact of US$78 million through improvement in patient advocacy and customer service operations by a combination of metrics reviews, FTE assessment, process standardization, and better integration of data.
The largest US-based payer and informatics company saved US$127 million (including US$ 54 million through operational improvements and US$13 million in productivity improvements) through an integrated solution comprising analytics, informatics, claims processing, software development, and business intelligence reporting, as well as application testing and maintenance.