Catalyst Solutions
Elevating Health Plans with Carefully Orchestrated, AI-Powered Strategies

When navigating the healthcare outsourcing landscape, many service providers emphasize the same benefits—cost reduction, offshore efficiencies and streamlined operations. It’s a familiar onesize- fits-all terrain, whatever the area of specialization. Catalyst Solutions has charted a different path, allowing innovation and cross-pollination of best-in-class solutions through the CatalyZe^™ ecosystem.

What’s The Catalyst Difference?

For more than 25 years, Catalyst has provided health plans with unbiased insights (which clients have compared to Switzerland) and best practices to deliver better outcomes.

Catalyst President Sas Mukherjee describes the company’s differentiator is its approach. “Unlike most BPOs that lead with predefined offerings and seek clients who fit with their skill set, Catalyst meets its clients where they are, to deliver its services to the unique circumstances clients face. Whether it is as simple as seeking specialized talent to clear a claims backlog, strategic advice on business transformation, implementation service for new technology or comprehensive process outsourcing, including business process as a service (BPaaS), Catalyst steps in at any stage of client’s journey, delivering exactly what they need.”

“Think of our offering like a symphony orchestra,” says Catalyst’s President, Sas Mukherjee. “Just as a conductor may substitute a musical instrument with another yet play the same composition, we can either bring our own platform or leverage the clients existing platform and partners and yet tailor our solutions to deliver high-value outcomes for each client. It is all about the business outcomes that truly matters to each of them.”

The strategic engagement to maximize the performance of health plans starts by taking a holistic view of people, processes and technology. At the core of this strategy is Catalyst’s end-to-end BPaaS solution, CatalyZe™, an AI-enabled, cloud-based, multi-tenant platform ecosystem. This platform extends Catalyst’s successful BPO services by infusing advanced technology to elevate service delivery.

Covering the entire spectrum of health plan operations, CatalyZe™ is a fully outsourced “health plan in a box” that provides seamless workflow across the health plan’s existing systems.

The platform’s flexibility enables it to harmonize best-in-class vendor partners and integrate their services. This connected ecosystem of partners and technologies brings together modular components that can be layered over clients’ existing systems and databases. A single-user interface helps in managing workflows across health plan operations while maintaining cost predictability and a competitive edge.

Its effectiveness is evident in Catalyst’s work with a long-standing client. Initially approached to clear a significant claims backlog, Catalyst uncovered deeper issues, such as configuration problems, provider data inaccuracies, and member engagement shortcomings. Rather than providing a temporary fix, Catalyst addressed these root causes, implementing improvements to the client’s operating model, strategic market entry, pricing and regulatory compliance. Over the life of the partnership, Catalyst has become integral to its operations, extending services across multiple business units and lines of service. It also leveraged its understanding of the client to provide specialized insights and services across the client’s IT outsourcing suppliers.

For another client, the AI-powered CatalyZe™ platform utilized 9 US-based full-time equivalents (FTE) to provide the same service and incrementally deliver operational insights that the client’s 45 offshore outsourced service provider employees could not provide. This achieved greater accuracy with faster turnaround times and enabled root cause analysis and remediation on several complex business issues. The successful outcome for this client showcases Catalyst’s ability to drive reverse arbitrage— shifting work from offshore locations back to an AI-enabled onshore model.

The All-Seeing AI For Intelligent Operations

Mukherjee noted, “If a human and AI play chess against each other, AI may win. But if a human, aided by AI, plays against AI, the AI-aided human will always win.”

This philosophy has guided Catalyst to establish its data lab to train AI engines and build intelligence into the CatalyZe™ platform. Adding AI increases efficiency and cost-effectiveness by going beyond automation to actively assist its team in effective service delivery.

The Drivers Behind The Innovation

Catalyst has cultivated a culture where innovation thrives, outcomes are paramount, and positivity and solution-oriented thinking are daily drivers. Evidence of the culture-driven approach is exemplified in the company’s exponential growth, achieving an increase in revenue over 20 percent year-over-year with a 100 percent client retention rate. This success rate enabled Catalyst to push boundaries and venture into the government and public service sector, an underserved market with immense potential.

Catalyst’s 25-year journey has connected the company to more than 200 health plans. The company’s strategic partnerships with industry-leading solution providers enhance its offerings and make it more technology-enabled without compromising its core values.

Partnering with Catalyst Solutions, clients unleash the symphony of efficiency, accuracy and member-centricity, empowering health plans to thrive in the face of change. “Let us obsess over your business process outcomes so you don’t have to. Rest assured, your health plans are in the best hands,” concludes President Mukherjee.