The Paradigm Shift of the Healthcare Industry
Many elements go into initiating and implementing a shift in how your healthcare company approaches different processes.
The obvious cause is complicated policies, but environmental and technology elements also play a huge role in healthcare reforms. Changes in the healthcare system are influenced by ailment trends, doctor demographics, and innovation. As our culture progresses, so do our healthcare needs.
The people who offer healthcare services are upgrading their policies and technologies. Healthcare professionals are a critical component of the healthcare system, and changes in their education, contentment, or demography are likely to have an impact on how patients are treated.
If statistics are to be believed, future healthcare professionals are also more likely to focus their expertise on business.
Current Challenges in the Industry
Although the COVID-19 pandemic has put an unprecedented strain on modern healthcare systems, the sector’s approach has proven its durability and capacity to introduce new products to market. However, the issue is unlikely to be over anytime soon, and the sector’s innovative skills must persist to meet the challenges posed by COVID-19 as well as the economic consequences of its proliferation.
Even though many businesses are experiencing unprecedented disruption, medicine and healthcare are particularly hard-hit due to the nature of the problem. For instance, pharmaceutical companies putting all their efforts into developing vaccines, hospitals following protocols to care for COVID-19 patients, etc., at the same time, facing challenges like financial headwinds, equipment shortages, and lack of staff.
The ongoing pandemic has exposed numerous weaknesses in the healthcare system requiring quick repair. Some of the most pressing issues are covered below.
Payment Processing and Invoicing
Medical practitioners are listing patient collections as their top revenue cycle management challenge. Healthcare professionals must comply with patient payment choices to encourage them to make on-time payments. However, setting up in-house systems can be sometimes difficult and expensive for medical offices.
AI-enabled Software
Every industry has been transformed by technology and artificial intelligence. This has increased the operational efficiency of each activity. To deal with the growing amount of data, the healthcare industry, too, requires more AI-integrated software applications.
As the number of patient information, medical information, and administrative data grow tremendously, new methods for storing will be necessary.
The enhanced database would be extremely beneficial to the hospital’s patients and record keepers. It will make information readily available and accessible, making it easier for patients to schedule appointments and track their therapy.
While modern database management systems are being implemented in healthcare institutions, many healthcare organizations still need this latest technology and equipment.
Data Security
Cyber threats and data breaches are the drawbacks of the information realm, and they must be countered with quick and effective safety measures.
Patients’ health data and other confidential information slipping into the hands of the wrong people is a violation of privacy. Plus, hackers can use it for a variety of ill-purposes.
The patients have a lot to lose in cyber theft, from private information to financial data and even insurance information.
In such intentional attacks, hospitals, too, jeopardize their brand and are frequently obliged to pay a significant penalty. As a result, healthcare providers must invest in solid security, such as multi-factor verification and secure gateways.
Costs of Healthcare are Increasing
The increasing cost of healthcare has a powerful effect on healthcare organizations’ incomes. It hinders the healthcare processes in several ways – from obtaining lab testing to keep up with regular follow-ups after a visit, everything becomes a little more complicated.
Telemedicine
Consumer acceptance of telehealth increased from 11% in 2019 to 46% in 2020.
The COVID-19 pandemic largely encouraged limited in-person human connection.
While the long-term ramifications of COVID-19 are unknown, telehealth adoption appears to be on the rise. 76% of customers think they are very likely or somewhat inclined to use telemedicine in the coming years.
However, major challenges such as a potential e-health boom and an increasingly unpredictable future continue to plague the telemedicine industry.
11 Compelling Reasons Why Healthcare BPO Outsourcing is the New Normal For the Healthcare Industry
According to Market Research Future, the healthcare BPO market is predicted to grow at a CAGR of 12.74 % by 2027. This will make its market value reach USD 78,793 million.
Here we have compiled a list of 11 reasons why healthcare BPO outsourcing could soon be the new normal:
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Cuts back on the cost
The healthcare sector is cutthroat. A primary goal is to reduce costs, which healthcare outsourcing services can help with.
The non-core functions requiring employee training or talent onboarding can be outsourced. The professionals at healthcare outsourcing services/companies should follow the most recent changes in laws and standards.
Outsourcing can also make money management easier and more efficient.
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Admin tasks are reduced
Outsourcing tasks that would otherwise have to be completed in-house can save a lot of money for healthcare organizations.
Healthcare BPO companies manage large teams of experts on account of a healthcare organization, saving the organization money at the expense of recruiting and training new employees.
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Concentrate on Patient Care
Outsourcing is mostly used by businesses to minimize interruptions and allow them to focus on their core capabilities. Healthcare outsourcing services can be a savior for healthcare organizations since it relieves the burden of managing admin activities, allowing them to refocus on providing high-quality patient care.
As a result, the company’s healthcare standards improve, making way for greater success. The goodwill for the healthcare institution grows as patients have more favorable experiences.
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Broaden Offerings
By outsourcing all non-core tasks to a healthcare BPO, healthcare organizations can devote their time and resources to providing exceptional patient care, increasing revenue, and improving reputation.
Outsourcing to healthcare BPO providers helps healthcare firms gain an edge by giving their operations a global perspective. Healthcare facilities may offer additional services to their patients as their operations attain a high sense of consistency.
This also improves the service quality given, providing them with an advantage over competitors.
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Well-versed with Latest Laws and Regulations
The healthcare industry is complicated. Healthcare organizations have huge chunks of confidential data including patient records, clinical records, and patient’s financial data.
Furthermore, the HIPPA standards and regulations can be difficult to understand.
The appropriate healthcare BPO provider will guarantee that your firm complies with all requirements, is up to date on new rules & regulations, and can help you avoid costly billing concerns.
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Access to Highly Skilled Professionals
When working with a professional healthcare BPO firm, you get to add value to your in-house team.
Outsourcing to healthcare BPO companies can provide you accessibility to healthcare experts that have been trained to manage various sorts of data, saving you time and money on recruiting & training assistance for your on-site employees.
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Access to Important Data and Reports
Data analytics can provide useful insights into efficiency.
Executives can delve further into summarized outcome measures, which they can utilize as a foundation for optimizing healthcare services and expenses.
The information can further be used by different departments for research and analytical purposes.
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Investing Less on Infrastructure
Outsourcing reduces the amount of money spent on high-cost equipment.
Companies that plan to maintain all projects in-house must invest heavily in cutting-edge IT systems, highly qualified technical staff, customer care call centers, and technical help desk support.
Outsourcing tasks help keep the prices low.
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Follow-ups on a Regular Basis
Regular follow-up with insurance providers necessitates the use of expert staff.
When routine follow-ups on submitted claims aren’t done, the number of rejected claims will continue to rise. Assessing the voids between submitted claims becomes simple when there is a continuous follow-up with the insurance company.
A healthcare BPO’s follow-up team can also assist you in identifying alternative approaches to increase income growth. Denial management will push the submitted claims for quicker reimbursements due to the discrepancy between the service date and the date billed and rejections.
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Less or No Delays or Rejections of Claims
While avoiding denials reduces difficulties, denial management appears to be difficult for healthcare practitioners.
Claims are frequently refused due to billing problems or the lack of detailed information based on the patient’s coverage. A healthcare BPO will file amended claims in an error-free electronic format.
To avoid rejections and boost remuneration, these measures can be crucial.
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Analytical Data
Data analytics helps optimize the time, earnings growth, and health data of healthcare providers.
The majority of healthcare facilities are unable to realize the benefits of data analytics. They continue to rely on out-of-date software, unskilled partners, and inexperienced employees.
To minimize erroneous data collecting, it’s critical for a healthcare service provider to have up-to-date software technologies and experienced people. Healthcare BPOs aid in the maintenance of correct data and efficient staff, allowing the hospital to effectively manage its revenue cycle.
The Future As We See It
Outsourcing certain services to a Healthcare BPO company can reap several benefits.
From low-cost to high-quality healthcare recordkeeping, from back-office solutions to a great engagement, outsourcing can get you all of it. Claim processing or medical data entry requirements are among the main, non-core services that healthcare BPO businesses can successfully simplify.
At Flatworld Solutions, we understand your objectives and deliver fast solutions within the timeframe you specify. We provide custom healthcare solutions to help medical functions become more efficient. We are a HIPAA, HL7, CPT, HCPCS, and ICD-10 certified BPO focused on lowering our clients’ operational expenses with innovative healthcare solutions.
Get in touch with us now to see how we can use our healthcare outsourcing service to improve the health of your healthcare organization.
Interested to know more?
Editor
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