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The future of healthcare outsourcing companies in the US market

Outsourcing companies are an integral part of the healthcare sector in any country. However, the US is one of the biggest contributors to the healthcare outsourcing industry.

The future of the healthcare industry in the hands of outsourcing companies is brighter than ever. More and more people are making things possible through partnerships with healthcare BPO companies around the world.

How outsourcing affected healthcare in the US

Everyone knows that hospitals, clinics, and other healthcare providers go through an insane amount of paperwork every day.

With work piling up and the deadlines approaching, some companies lighten the load and offload a handful of non-core responsibilities and job roles. This is where healthcare outsourcing companies come in.

Outsourcing allows companies like healthcare providers to focus more on their core services: to treat and care for their patients.

Patients are more satisfied with healthcare when they see the doctors and other medical professionals being hands-on in this aspect. This is why hospitals need not outsource their core services and roles.

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How outsourcing affected healthcare in the US

What is healthcare outsourcing?

Outsourcing is a business strategy that allows a company to offload responsibilities to a competent external service provider. Business process outsourcing (BPO) companies offer back-office support, customer service support, and administrative help.

In the medical field, healthcare outsourcing means that hospitals, clinics, and outpatient departments turn over their non-essential tasks such as filing, medical coding, and transcribing to BPO firms.

Healthcare outsourcing helps public and private health institutions expand more—therefore, helping more people in the long run.

Clinics, hospitals, and staff can focus more on their patients’ needs by delegating tasks to healthcare BPOs.

The public’s concern about healthcare outsourcing companies and HIPAA

Some healthcare outsourcing efforts were met by a slight pushback due to concerns over HIPAA compliance.

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) provides American constituents safety and security regarding their medical records. This means that any institution can’t disclose someone’s health record without explicit consent.

US healthcare providers assure their patients and the public that their outsourcing partners are compliant with HIPAA. This applies even if they aren’t primarily operating in the States.

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On the other hand, outsourcing companies continue to ensure that their client’s information and data will never be disclosed without clearance even after ties have been severed.

The public’s concern about healthcare outsourcing companies and HIPAA

Why do healthcare companies choose to outsource?

Healthcare providers, like any other companies out there, choose to outsource their business processes primarily for one reason: to save on resources. 

Outsourcing allows companies to be more flexible in handling internal and external workloads.

While outsourcing as a business model isn’t technically cheap, it’s cost-effective and will support your business in the long run. Like expansion, outsourcing isn’t a yes-or-no decision—it may take months to years of researching and studying before taking a stand.

Where US healthcare companies outsource

Most healthcare companies in the US outsource to developing countries like India, the Philippines, and Mexico. In the case of the latter, outsourcing from the US is also known as nearshoring. 

Nearshoring is the same as outsourcing; the only difference is the geographical location. Nearshoring happens when a company decides to offload jobs and roles to neighboring countries, as is the case with the US and Mexico.

Mexico

Undoubtedly the first country that comes to mind when healthcare companies outsource from the US is Mexico.

Given its close proximity to the US, the country is the most practical option for finding the best healthcare outsourcing companies.

One advantage of outsourcing (or nearshoring) to Mexico is the lack of severe timezone constraints on both parties. Another is reaching and connecting with the Hispanic population in the US.

The Philippines

The Philippines is the world’s call center capital, but they’ve got so much more than that. 

From unbridled hospitality to unwavering work ethics, the country remains at the top of any US healthcare provider.

India

Another contender for a healthcare outsourcing destination is India.

With the country’s massive talent pool filled with experts and professionals, US and even European companies flock to the Indian workforce for healthcare outsourcing services.

Where US healthcare companies outsource

Healthcare services that companies can outsource

From the beginning, we’ve been talking about non-core healthcare services, but what does that really mean?

Non-core services encompass any tasks and responsibilities that don’t necessarily affect the customer or the clients of a company. In this context, non-core services include but are not limited to medical billing, insurance processing, and medical transcribing.

Medical billing

Medical billing outsourcing pertains to the process of letting a third party code and bill a healthcare provider’s procedures. Be it surgeries or outpatient prescriptions, an outsource medical billing facility will handle it.

Insurance processing

Another time-consuming yet important task is insurance processing.

When patients come into care, they usually have an insurance card or policy that may cover the procedures and their admission.

Processing this paperwork is the responsibility of the insurance department. Most hospitals believe it is best (and cost-effective) to hire someone with experience in insurance claiming.

Medical transcribing

Medical transcribing pertains to digitally transcribing medical records, procedures, and notes from doctors, nurses, and hospital administrators.

Inbound and outbound customer service

Healthcare organizations need a contact department for non-urgent questions, concerns, and inquiries to keep things organized. 

Some of them ventured into outsourcing their customer service department to lessen the workload that comes through their channels every day.

How healthcare outsourcing companies thrive despite challenges

Outsourcing as a business model helped a lot of companies and businesses expand their operations. For the healthcare industry, this means that they can focus on treating and caring for their patients.

One of the more obvious reasons that outsourcing continues to grow is that it opens up so many avenues for both employees and companies. Despite some pushbacks, businesses keep on and strive for growth.

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About OA

Outsource Accelerator is the trusted source of independent information, advisory and expert implementation of Business Process Outsourcing (BPO).

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Outsource Accelerator offers the world’s leading aggregator marketplace for outsourcing. It specifically provides the conduit between world-leading outsourcing suppliers and the businesses – clients – across the globe.

The Outsource Accelerator website has over 5,000 articles, 350+ podcast episodes, and a comprehensive directory with 3,000+ BPO companies… all designed to make it easier for clients to learn about – and engage with – outsourcing.

About Derek Gallimore

Derek Gallimore has been in business for 20 years, outsourcing for over eight years, and has been living in Manila (the heart of global outsourcing) since 2014. Derek is the founder and CEO of Outsource Accelerator, and is regarded as a leading expert on all things outsourcing.