The US-based Institute of Medicine estimates that the US healthcare industry currently wastes about $750 billion each year — roughly the cost of a year’s health coverage for 150 million US workers — and still fails to reach its goal of delivering first-class care consistently. Inefficiency, over-testing, fraud, and error-prone overgrown bureaucracies all play their roles.
This is a system ripe for reform, and reform is happening. The Patient Protection and Affordable Care Act and the HITECH Act are bringing profound changes to healthcare administration. Transactional workflow will be transformed to boost efficiency and reduce cost, while promoting improved delivery of quality care and positive outcomes for patients.
These changes inevitably affect how both payers and providers manage their business and operations. As financial penalties for ineffective healthcare delivery and claim processing kick in, they must evaluate what and how they outsource.
Providers’ concerns

• Reduced Reimbursements
• The rising cost of manual claims processing
• Mandated MLR (Medical Loss Ratios)
• Tighter compliance requirements and enforcement
• Market Expansion due to new subscribers
• Electronic Medical Records (EMRs)
• Shift to ICD-10 codes

Payers’ concerns

• Rising cost of healthcare due to higher provider charges and greater life expectancy
• Regulatory pressure on insurance premiums
• Processing of paper records and checks

Please see Providers and Payers  for details.

NDS in the Healthcare domain
Old technologies cannot meet the demands of the new regulatory landscape. NDS was one of the earliest players in the industry, and today continues to provide comprehensive, transformational outsourcing services through next-generation technologies that include built-in reporting and analytics.

We help large and mid-sized healthcare organizations enhance profitability by smart-sourcing IT and business processes. Our solutions combine automation to increase productivity and efficiency with innovation to enhance business effectiveness.

With delivery centers located in the US and India and more than a decade of experience in the healthcare industry, NDS is the perfect partner for outsourced management of your Revenue Cycle Management (RCM) processes, including patient registration, eligibility verification, billing, A/R follow-up and more.