Gartner Research

3 Questions to Ask When Considering Medicare Advantage Outsourced Administration Options

Published: 10 January 2019

ID: G00369403

Analyst(s): Bryan Cole


U.S. healthcare payers and providers are eyeing Medicare Advantage (MA) and face the risk of both losses and fines when doing so without MA expertise. CIOs can use this framework to decide if you should outsource MA administration to manage costs and mitigate compliance risks.

Table Of Contents


  • MA Success Demands Process Efficiency and Compliance Knowledge
    • MA Profitability Is Not Guaranteed
    • There Is More Than One BPO Path, So Choose Wisely
  • Should We Choose a General or Specialized BPO/BPaaS Vendor?
  • Should We Choose Functional BPO or Comprehensive BPaaS?
  • What Should We Look for in a BPO or BPaaS Vendor?

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