Healthcare Advisory Services

Healthcare payor and provider organizations are increasingly seeking service delivery alternatives for their support operations. As an executive within the industry, you are likely to be motivated to consider alternative models, such as outsourcing, offshoring, shared services and internal service optimization, as a result of two major forces: 1) the need to address major systemic challenges; and 2) the promise of rapidly emerging new IT capabilities.

There are several other drivers, from HIPAA compliance to the great savings potential of moving from a historically paper- to an electronic-based system, that are particular to your industry. And processes such as medical transcription, imaging services and clinical pathology, unique to the industry, are common candidates for outsourcing consideration.

But healthcare payor and providers are late to the sourcing game.

Factors such as data-privacy concerns have delayed your industry in fully leveraging the benefits. However, the market is ripe to capitalize on the lessons learned from sourcing forerunners and the expansion and maturation of service providers serving the needs of the industry.

With a history of objectivity and client success, TPI helps healthcare clients optimize their sourcing delivery models. TPI advisors have helped leading healthcare clients like Cardinal Health, Cigna, Pacificare (now part of UnitedHealth Group International), and Tenet Healthcare use outsourcing to meet their business challenges. Since completing its first healthcare outsourcing contract in 2001, TPI has advised on 28 of 178 (15.7 percent) of transactions in this industry segment that went to contract. The firm has advised on almost US$4 billion in total contract value (TCV), or about 13 percent of the TCV of all healthcare payor and provider contracts.

Since 1998, TPI has helped 21 unique medical payor/provider enterprises with 76 different engagements (assessments, consulting, transactions and sourcing management). More than 40 innovative, healthcare-experienced TPI advisors understand that clients want value (greater ROI and spending), speed to results (faster deployment of streamlined service-delivery models) and risk mitigation (enduring solutions with manageable operating risk and disruption).

Focusing on these client imperatives, TPI advisors apply their marketplace relationships and experience, market data, and proven tools and methodologies to help clients assess the risks and benefits of each sourcing option.

Following are our Healthcare advisory service offerings:

  • Develop sourcing strategies (outsourcing, offshoring, shared services and internal service optimization, and organizational transformation)
  • Identify what sourcing can do to help achieve corporate objectives
  • Assess functions and processes for sourcing opportunities, including a quantifiable review of current spend as compared to market
  • Select and position service providers
  • Evaluate proposals, service delivery options and service providers
  • Negotiate or renegotiate sourcing contracts
  • Assist in implementation and transaction activities, and
  • Manage sourcing relationships.

For more information, contact:

healthcare@tpi.net