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Health Services

Consumer-centered service design to achieve healthcare reform success

Health Services

Serco delivers health care services that support vital government programs and enhance the experience and outcomes of consumers. Our integrated approach combines policy expertise, business process excellence, and intelligent automation to help our clients deliver outstanding customer service to millions of citizens, while ensuring program integrity. We partner with Federal agencies and State governments to develop closely tailored solutions to advance initiatives that provide health care services to millions of Americans.

The Serco Advantage

In a rapidly changing health care landscape, Serco helps our clients to anticipate and adapt to new mandates and regulations, while continuously optimizing their service delivery model. We help take the risk out of standing up large-scale new programs or implementing major transformations. With decades of experience in public sector health services, our team understands how to close the gap between the heightened expectations of consumers and policymakers and the reality of how services are delivered today.

  • Senior-level policy expertise connects regulatory change with operational outcomes and success metrics
  • Integrated process engineering that delivers continuous improvements in accuracy, cost, and performance
  • Intelligent automation that identifies and resolves data discrepancies through self-service, reducing cycle time and cost
  • Exceptional service experience in which complexity of an issue is matched with required training and experience level of the knowledge worker handling it

Our fully integrated approach to policy, operational services, customer support, data analytics, and program management makes Serco an ideal partner for implementing complex health care reform initiatives.

 

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State Health Solutions - Empowering States to Create Customized Health Care Programs

Serco strives to enable state health care agencies to leverage the infrastructure and best practices developed in support of the federal market, while customizing programs to the needs of their own citizens and local policy priorities. Recent legislation and regulatory changes have provided greater flexibility for states who wish to develop and operate their own health insurance exchanges and employ more innovative approaches to providing health insurance. Serco’s deep policy and business process expertise can help states to develop scalable, customized solutions to:

  • Launch innovative insurance offerings
  • Increase enrollment by the non-subsidized populations
  • Achieve measurable reduction in the uninsured population
  • Decrease cost of operations
  • Deploy integrated approach to Medicaid and exchange administration
  • Maximize Federal support for state exchange plans

Our fully integrated approach to policy, operational services, customer support, data analytics, and program management makes Serco an ideal partner for implementing complex health care reform initiatives.

State Health Exchanges

Serco partners with states to analyze the most cost effective way to design and launch a health insurance exchange and take full advantage of the greater flexibility and resources now available for consumer and small business plans (SHOP). Our solution for states includes:

  • Launch innovative insurance offerings
  • Exchange Migration
  • Eligibility & Enrollment
  • Case Management
  • Provider Enrollment
  • Marketing & Communications
  • Program Integrity

Serco understands the challenges involved with ACA-compliant health insurance offerings, and our senior policy experts can help states navigate integration with the CMS platform. We have proven credentials running large scale insurance eligibility programs that handle millions of cases every year and analyze over 100 million records every week.

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