The Rise of Hybrid Global Outsourcing Models in Healthcare

 


Amid labor shortages and financial limitations, fully managed hybrid outsourcing solutions are increasingly gaining traction. Hospitals and provider organizations are grappling with staffing deficits across departments, putting significant pressure on the revenue cycle. A recent survey of medical group leaders highlighted coders as the most challenging role to fill, closely followed by billers, schedulers, authorization specialists, and positions related to credentialing and patient engagement. This struggle is prompting more providers to seek assistance from revenue cycle outsourcers.

An April 2023 survey aimed at revenue cycle leaders revealed the processes earmarked for potential outsourcing in the next 12 months. Key processes included authorization and medical necessity (19%), denials and appeals management (18%), and underpayment analysis and recovery (18%).

Outsourcing Challenges: Cost remains a significant obstacle, especially amid prevailing inflation rates. For provider organizations facing shrinking margins, engaging another outsourcer may seem financially unviable. However, there are viable alternatives to address this perception.

Hybrid international outsourcing frameworks and flexible commercial options offer potential solutions. Outsourcing provides relief in staffing and access to advanced technological capabilities without the need to build in-house teams and systems.

Presently, offshore medical coders often possess full certification. This model can be expanded globally, allowing organizations to leverage offshore resources while maintaining onshore oversight. This hybrid approach enables providers and staff to focus on enhancing care delivery and refining the patient experience. Moreover, innovative commercial arrangements within fully managed outsourced models help control costs. Establishing alignment on Key Performance Indicators (KPIs) ensures accountability of the outsourcing partner in delivering improved outcomes.


https://www.allzonems.com/the-rise-of-hybrid-global-outsourcing-models-in-healthcare/

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