Consulting & Business Process Outsourcing for Health Plans

cat•a•lyst

\’ka-te-lest\

igniting change through

Featured Offerings

Health Plan Solutions

Business Process Outsourcing

Outsourced support for significant savings

learn more

Our Focus

20+ years in business, 185+ health plan clients

Catalyst Solutions is a consulting firm that has partnered exclusively with health plans for over 20 years. Our clients serve all lines of business and range from start-up health plans to the largest payers in the country. Our mission is to help plans improve healthcare outcomes and drive down costs.

As we only work with health plans, our expertise is not only broad but also deep. We offer solutions spanning the health plan front, middle and back offices; intently focusing on ways to optimize the process, technology, and tools leveraged. Catalyst has key Focus Areas to provide support to our payer clients:

  • Business Process Outsourcing
  • Operations Consulting
  • Technology Consulting
  • Strategic Consulting
  • Project Management Consulting
  • Managing MLR
Core Platform Consulting

Create system flexibility, control, and integration

learn more
Operations Optimization

Gain meaningful efficiencies in operations

learn more

Industry Expertise

The Latest in Health Plan Management

01
Advantages and Disadvantages to Virtual Training

The use of the virtual classroom and those participating depends on the instruction topic and level of the learners. Although there are advantages with virtual training there are also disadvantages. If the course is self-paced, fully instructor led, or partial individual instruction.

learn more
02
Why Outsourcing Claims Administration Makes Good Business Sense

Insurance companies are reliant on two main pillars — bringing in new business and claims administration. Claims administration is a significant responsibility. Any new customer that signs onto a policy is doing so with the confidence that their claim will be processed fairly and quickly, should the occasion arise.

learn more
03
Reduce Costs by Addressing Medical Loss Ratio

Nearly all sectors of public healthcare have projected increased spend in the next decade. The U.S. population is rising, which will result in more enrollments in government programs. The Center for Medicare and Medicaid Services (CMS) projects that nearly half (47.3%) of the U.S. population will be enrolled in Medicare, Medicaid, or CHIP programs by 2026.

learn more