Cognizant Healthcare BPaaS: Modernizing Administrative Processes in the Evolving Healthcare Landscape
DOI:
https://doi.org/10.63282/3050-9246.IJETCSIT-V4I1P111Keywords:
Healthcare BPaaS, Cloud Computing, Claims Processing, Robotic Process Automation (RPA)Abstract
Healthcare management is changing regarding expanding needs for services offered, compliance issues and requirements, and proper business operations. More and more hospitals and allied medical facilities are implementing efficient information systems in managing organizations to increase patient-oriented care. Thus, Cognizant's Healthcare BPaaS is a refreshing new concept by replacing obsolete, time-consuming, and paper-heavy processes. In more detail, this paper needs to examine how Cognizant, together with Healthcare BPaaS, is handling issues related to multiple administrative processes, minimizing the cost of operations, issues of compliance, and patient satisfaction. In this paper, authors analyse system architecture workflow and use real-life examples of how using BPaaS revolutionises health care administration. Some of these include claims management, member enrollment, and provision of provider data as well as revenue cycle optimization. A stepped approach to implementing the BPaaS solution is presented concerning technological enablers like RPA, AI, and ML. Based on the identified case studies, it was established that there was an enhancement in parameters such as claim adjudication interval, first-attempt resolution rates, and a reduction in administrative expenses. The discussion also considers such issues as data privacy issues, system integration issues, and issues to do with change management. Lastly, the conclusion emphasizes the need to point to BPaaS as a suitable business model for healthcare organizations in the digital age
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