Consumer-driven Health Plans (CDHP)
Growth in Consumer-driven health plans (CDHPs) has been fueled by employers facing double-digit premium increases who believe employees should take greater responsibility for how healthcare dollars are spent. These sentiments were echoed by the U.S. government as budget projections remain dim for financing the vast number of citizens that will soon be eligible for Medicare. Thus, the economic dam for healthcare access is breaking, necessitating greater savings acumen across all constituents.
Architecting Value and Competitive Advantage through Platform-based BPO
Business process outsourcing (BPO), the delegation of non-core business processes to a third party, is rapidly gaining momentum in healthcare and other industries. Gartner has projected that BPO across all industries worldwide will exceed $176 billion in 2008, up from $112.9 billion in 2003. 1 Traditionally, companies used outsourcing to free up management, staff and money to focus on improving core areas of operation.
Business Process Outsourcing (BPO) for administering self-insured programs – What has changed? by Siva Namasivaya
Outsourcing is not a new trend or concept in the self-insured marketplace. Self-insured employers have long outsourced benefits administration to third party administrators (TPAs) and health plans. In turn, health plans and TPAs have often outsourced their claims entry, pre-certification, medical management and PPO access to third parties.
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