HEALTHsuite Advantage™BPO Solution for Medicare Advantage, Managed Medicaid and Special Needs Plans

With 54% of eligible Medicare beneficiaries enrolled in Medicare Advantage, including 6.6 million in Special Needs health plans, and a steady rise in Managed Medicaid enrollment, modernization is essential for effectively managing these rapidly growing populations. Navigating administrative and compliance requirements can be complex without dedicated teams focused on these challenges.

Business Process Outsourcing (BPO) has grown significantly over the past decade, prompting even the most self-reliant organizations to reevaluate how outsourcing can enhance their bottom line. Whether you’re new to Medicare Advantage, Managed Medicaid, and Special Needs Plan administration, or seeking to optimize your existing programs, outsourcing deserves your consideration.

The Medicare Advantage BPO and Managed Medicaid BPO services offered by our team empower health plans with invaluable expertise in government program administration. Our BPaaS solution simplifies plan administration, staffing, and compliance oversight. Utilizing the right platform and cohesive systems streamlines operations and minimizes challenges. Entering the government sponsored health plan market with the right resources not only fills existing gaps but also strengthens your organization’s position for success.