# Catalyst Solutions

> Catalyst Solutions helps U.S. healthcare payers run and improve claims, enrollment, contact centers and other administrative functions. Founded by Rachel Spilo in 1999, the Colorado company combines outsourcing, consulting, its CatalyZe BPaaS framework and AI services, working across clients’ existing technology platforms.

- **Founded:** 1999
- **Headquarters:** Greenwood Village, United States
- **Founders:** Rachel Spilo (Founder and Chairwoman; former CEO)
- **Products:** Payer BPO/BPM, CatalyZe, Payer Consulting, AI Adoption, AI as a Service
- **Notable:** Homepage reports 200+ payers served, 49-state client coverage and 350+ implementations as reviewed October 25, 2026., Reported P3 go-live in May 2025 across four states, eleven active plans and nearly 68,000 members., Announced Healthcare Business Review Healthcare BPO of the Year recognition for a third consecutive year in January 2025.

## Products & services

- **Payer BPO/BPM** — Targeted or end-to-end administrative operations including claims, configuration, eligibility and enrollment, contact centers, provider data, appeals, billing and reporting; onshore, offshore or hybrid delivery.
- **CatalyZe** — AI-enabled BPaaS framework described on the current website as platform-agnostic, cloud-ready process orchestration across existing payer systems; also marketed as a payer-in-a-box offering.
- **Payer Consulting** — Strategic advisory, operations improvement, system assessments and modernization, implementation and integration support, regulatory change readiness and specialized expertise.
- **AI Adoption** — Use-case discovery, leadership education, workforce enablement, change management and governance for payer AI adoption.
- **AI as a Service** — Discovery, custom agent development, integration and ongoing management, powered by sister company healthplans.ai, with human oversight.
- **Process Discovery AI Agent** — Proprietary tool described in the Delta Dental of Colorado case study as capturing workflow patterns, user interactions and performance gaps to inform an automation roadmap.

## Achievements

- Homepage reports 200+ payers served, 49-state client coverage and 350+ implementations as reviewed October 25, 2026.
- Reported P3 go-live in May 2025 across four states, eleven active plans and nearly 68,000 members.
- Announced Healthcare Business Review Healthcare BPO of the Year recognition for a third consecutive year in January 2025.
- Company overview states it has obtained SOC 2 assurance; report type, period and scope were not independently reviewed.

## Latest updates

- **2026-08** — Published a Catalyst Conversations episode featuring Dr. Vipul Mankad on children, CHIP and value-based care, hosted by Sas Mukherjee.
- **2026-06** — Published a Catalyst Conversations episode on rural health transformation.
- **2026-02** — Promoted President Sas Mukherjee to CEO and President; Rachel Spilo remained Chairwoman and took full executive leadership at healthplans.ai.
- **2025-08** — Announced the P3 implementation that went live in May 2025.
- **2025-01** — Announced a third consecutive Healthcare BPO of the Year recognition from Healthcare Business Review.

## Links

- Website: https://www.catalystsolutions.com/
- LinkedIn: https://www.linkedin.com/company/catalyst-solutions-llc/
- Twitter/X: https://twitter.com/catalystsolutio
- YouTube: https://www.youtube.com/channel/UC9HzRanbB5UCxWKXJPxFH1A
- Facebook: https://facebook.com/CatalystSolutions99

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Profile page: https://yespress.io/catalyst-solutions
Published by YesPress — https://yespress.io
Last updated: 2026-10-25