Healthcare outsourcing can help prepare for the Affordable Care Act

Healthcare outsourcing can help prepare for the Affordable Care Act

Healthcare providers aimed at complying with the forthcoming provisions of the Affordable Care Act are expecting big changes in the size and scope of the delivery of care.

Community health centers and small businesses are taking the initiative to help inform employees and stay informed about insurance exchanges and increased enrollment in insurance coverage. With evolving regulations and a predicted increase in the number of patients, these businesses and institutions would likely benefit from services provided by an outsourcing company to help with healthcare management.

Education efforts aim to improve enrollment
Some pharmacies are providing brochures to help individuals understand reforms that will soon be implemented. Beginning Jan. 1, 2014, the number of options facing businesses and healthcare providers will largely increase, causing confusion according to Forbes.

Healthcare organizations that are striving to educate the public are doing so with the hope that a greater number of people will have the resources to choose a plan that is affordable and effective, so that they remain in the system without incurring penalties or fees. Healthcare outsourcing firms, especially those offering healthcare logistics services, can help businesses and hospitals navigate the changes ahead which will alleviate problems with workflow and allow businesses and health systems to focus on their primary services.

Patient populations expected to increase
The Act will expand coverage, bringing millions of new consumers into the healthcare system and giving many community healthcare centers cause for worry.

Reuters reported that since 1965, these federally funded health services providers have cared for more than 22 million people, mostly the poorest Americans. One-third of these patients have been uninsured. Specializing in primary care and addressing mental health issues, community centers are expecting 10 million new patients as a result of the ACA.

With an expanding number of patients, the centers are concerned about their funding. They will likely suffer a shortage of staff and resources without increased revenue. As a result, many fear it will drive patients to private hospitals or practices, which will also draw money away.

Whitman-Walker Health, a community health center in Washington, recently reported an average wait time of three to six weeks, which Reuters said is relatively short. More patients will likely exacerbate the problem. Because of government budgetary restrictions, community health centers suffered a 5 percent cut in funding in March, resulting in the ability to serve 900,000 fewer patients, according to the Kaiser Family Foundation. Smaller healthcare providers are left with few options.

With less money coming from the government, many healthcare institutions can benefit from outsourcing services specialized in managing insurance claims. Partnering with these healthcare BPO companies can cut costs for organizations.

Written by Jeff De Jesus

Jeff De Jesus

With his exposure to the outsourcing industry since 2003, Jeff was able to share and implement his leadership insights with respect to managing business process accounts, particularly in the healthcare department. Jeff has also taken part in assessing the fundamentals of the company’s operational processes, utilizing his experience as an Operations Manager across different verticals, identifying and executing methods that can improve the quality of workflow in the company. Jeff’s experience is not only limited to the Healthcare solutions as his capability in handling Customer Support is also mirrored in the successes that the company has achieved.

  • Facebook
  • Twitter
  • Delicious
  • LinkedIn
  • StumbleUpon
  • Add to favorites
  • Email
  • RSS

Leave a Reply

Your email address will not be published. Required fields are marked *