Tony Mira, Group CEO & Founder, Ajuba Solutions Pvt Ltd, shares his thoughts on the emerging opportunities in the healthcare BPO segment
How has health care outsourcing evolved over the last decade?
Over the last decade the health care system in the U.S. has become more and more complicated. The more the government meddles with the health care system the more complicated it becomes and the more opportunities it creates for companies like us to take advantage of the system. With HIPAA, ICD-10 transition, Accountable Care Organizations (ACOs), and electronic medical records, there will be greater pressure on the system to process the claims. With that complexity, health care providers need support from companies like us to maneuver through these changes.
How is Ajuba exploiting the opportunities presented by the new policies?
For the last couple of years the U.S. health care space is going through some major changes. One such major change is electronic medical records. This has become a major reform that is creating paperless information flow from the patient to the physician to the hospital to the insurance company. Another major reform is the ICD 9 conversion to ICD 10. This is a huge undertaking with over 30,000 codes being transferred into over 170,000 diagnosis codes. So there are various reforms and changes in the health care that is putting pressure on the sector in the U.S. and these pressures are creating opportunities for companies like Ajuba. Now we are helping maneuver our clients in the U.S. through these major changes.