Manage your member and provider lifecycles while helping your members lead healthier lives.
Combine revenue cycle management and licensed care professionals to provide a great patient experience.
Benefit from our multi-language customer support, technical support, triage and intake support, and collections/billing offerings.
Ensure process excellence with our industry-leading compliance and deep pharma expertise.
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Sales LabX2022-06-29 05:51:002022-07-05 20:19:02Providers, payers need to move beyond compliance with FHIR interoperability, experts say. Here’s why
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Sales LabX2022-06-17 13:19:462022-06-21 11:16:35HGS Healthcare Gains Momentum in Revenue Cycle Management as Providers Look Beyond Pandemic and Focus on Financial Recovery
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Naveen Kumar2022-06-13 10:58:332022-06-14 08:26:56How can I monitor an older loved one’s alcohol consumption?
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Naveen Kumar2022-05-05 13:02:202022-05-05 13:32:58How Back-Office Accelerators Are Steering Optimized Experience
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Naveen Kumar2022-04-29 11:47:572022-04-29 13:09:16What Experts Think of Fauci’s Declaration that the United States is Past the COVID-19 Pandemic Phase
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Naveen Kumar2022-04-20 11:14:482022-04-20 11:20:26How do I respond to false accusations from an older adult with dementia?
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Naveen Kumar2022-04-20 10:17:532022-04-20 13:07:57HGS Healthcare Future-Class Digital Series: How Back-Office Accelerators Are Steering Optimized Experience
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Naveen Kumar2022-03-29 08:33:002022-04-04 10:24:11See why Everest Group named HGS Healthcare a Leader!
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Michelle Caddey Maclean2022-03-17 07:45:002022-03-17 08:44:32HGS Healthcare introduces HGS Aging in Place™ and Falls Prevention for seniors living longer at home
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Michelle Caddey Maclean2022-03-10 14:50:262022-03-10 16:19:11Vaccine hesitancy training helps health workers answer questions for the undecided
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Michelle Caddey Maclean2022-03-07 13:49:002022-03-10 14:06:29Three strategies to win and retain healthcare talent
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Michelle Caddey Maclean2022-02-18 16:04:052022-02-18 16:55:53Webinar recap: Highlights from “Aging in place: Integrating fall risk assessment and prevention to ward off frailty”
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Michelle Caddey Maclean2022-02-17 07:30:002022-02-17 08:44:34HGS AxisPoint Health provides ACAP plans insight to promote COVID vaccine acceptance, address hesitancy
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Michelle Caddey Maclean2022-02-14 13:33:042022-02-14 14:28:46Three ways to not be surprised by the No Surprises Act
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Michelle Caddey Maclean2022-02-10 15:09:002022-02-11 15:27:41How parents’ attitudes toward COVID-19 vaccines have changed
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Michelle Caddey Maclean2022-02-08 17:16:182022-02-09 09:22:24How can an older adult regain strength after a hospitalization?
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Michelle Caddey Maclean2022-02-03 14:13:002022-02-08 15:06:31Pediatricians say children need to be back in school: Here’s why
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Michelle Caddey Maclean2022-01-24 13:31:322022-01-24 14:15:41How payment integrity tools can help payers to tackle fraud, waste, and abuse
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Michelle Caddey Maclean2022-01-20 08:30:002022-01-20 08:42:58HGS AxisPoint Health receives NCQA Case Management and Population Health Program reaccreditations
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Michelle Caddey Maclean2022-01-14 15:33:112022-01-18 16:02:52HGS Healthcare sponsoring the Intercompany Long-Term Care Insurance (ILTCI) Conference in March 2022
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Michelle Caddey Maclean2022-01-13 18:23:332022-04-25 12:31:28COVID-19: Promoting vaccine acceptance and addressing hesitancy
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Michelle Caddey Maclean2021-12-24 14:05:002022-01-06 15:12:34What are some minor changes for a safer home environment for seniors?
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Michelle Caddey Maclean2021-12-14 15:14:222021-12-14 15:36:39Four strategies to help providers focus on patient care and financial recovery as Delta variant spreads
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Michelle Caddey Maclean2021-10-15 10:01:002021-12-03 12:17:24Dr. Lisa Doggett is a Stevie award-winning “Female Executive of the Year – Business Services” for 2021
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Kimberly Dou
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Kimberly Dou2021-09-20 20:33:452022-04-27 12:15:50Webinar | Aging in place: Integrating fall risk assessment to ward off frailty
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Krishna Kumar2021-09-16 04:55:212021-10-25 15:47:385 provider coding myths, debunked
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Krishna Kumar2021-08-18 04:22:002021-09-12 17:19:23Partha DeSarkar, Global CEO, HGS was interviewed by Zee Business on the HGS healthcare business hive off
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Krishna Kumar2021-08-18 04:20:002021-09-12 17:19:57Partha DeSarkar, Global CEO, HGS was interviewed by CNBC TV18 on the HGS healthcare divestment deal
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Krishna Kumar2021-08-09 23:13:032021-09-12 17:50:54HGS divests its Healthcare Services business
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Krishna Kumar2021-08-04 08:04:472021-08-16 11:00:21Health plan guidance: 3 essentials for no-surprises Act compliance
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Kimberly Dou2021-08-02 16:38:142022-02-09 06:19:45International Association of Outsourcing Professionals OWS 2022
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Kimberly Dou2021-07-30 11:10:372021-12-29 14:59:23Webinar | Social determinants of health: Impacting highest-need populations
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Kimberly Dou2021-07-29 11:40:002021-12-03 12:17:54HGS Healthcare team recognized as a Major Contender for revenue cycle management (RCM) operations – Services PEAK Matrix® Assessment 2021
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Krishna Kumar2021-07-26 10:52:532021-07-30 13:37:37The human side of healthcare analytics
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Kimberly Dou2021-07-23 10:39:592022-02-18 12:38:24Report | Recover lost revenue
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Kimberly Dou2021-07-16 14:33:292021-12-03 15:12:56Texas Association of Health Plans
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Kimberly Dou2021-07-15 14:10:142021-12-03 15:13:56HFMA annual conference
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Kimberly Dou2021-07-13 13:04:062021-12-03 15:14:50ACAP CEO Summit 2021
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Kimberly Dou2021-07-11 12:19:552021-12-03 15:15:38Special Needs Plan Alliance 18th Annual Fall Forum
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Kimberly Dou2021-07-05 16:29:082021-12-03 15:16:34California Association of Health Plans annual conference
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Krishna Kumar2021-06-22 07:57:002021-07-30 08:13:51New CMS data interoperability rule takes effect July 1
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Michelle Caddey Maclean2021-06-04 14:36:002021-07-30 08:14:26COVID-19 vaccines for children: Timing, side effects, and more
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Virgil Wong2021-06-01 06:44:002021-07-30 08:14:38Three ways healthcare engagement models differ from other industries
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Krishna Kumar2021-05-17 13:36:382021-07-30 08:15:26How to talk to someone who’s hesitant to get the COVID-19 vaccine
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Kimberly Dou2021-05-17 10:33:002021-09-12 17:26:53Feds seek more vaccines at practices, but delays hamper the plan
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Kimberly Dou2021-05-14 12:24:002021-12-03 12:16:28HGS Healthcare team is recognized as a High Achiever in the Healthcare Payer NEAT 2021 report
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Kimberly Dou2021-05-04 14:29:002021-07-30 08:15:50Effectively handling clinical denials amid a pandemic backlog of elective surgeries
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Krishna Kumar2021-05-03 05:54:002022-02-17 23:18:29Modeling impactability with predictive analytics can drive better outcomes in whole-person care
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Kimberly Dou2021-04-15 12:21:002021-12-03 12:20:04HGS Healthcare team recognized as an Innovator in the RCM Business Process Transformation 2021 RadarView Report
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Krishna Kumar2021-04-06 04:50:002021-07-30 08:23:50HGS AxisPoint Health to speak at SNP Alliance Spring Roundtable
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Kimberly Dou2021-02-27 12:38:002021-12-03 12:23:57HGS Healthcare team recognized by IAOP as a Leader for ten years in a row!
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Krishna Kumar2021-02-26 08:09:002021-09-08 13:04:16COVID-19 and healthcare: 3 areas of market focus
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Krishna Kumar2021-02-22 09:07:002021-07-30 08:25:43Modernizing your contact center: The first step toward a more engaging patient experience
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Kimberly Dou2021-02-12 19:40:142021-12-09 17:05:40HGS Healthcare team placed in the 2021 Gartner Magic Quadrant for Customer Service BPO
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Virgil Wong2021-02-08 17:05:592021-12-24 12:33:50For better RCM, prioritize people and track with technology
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Krishna Kumar2021-02-04 08:50:002021-07-30 08:26:32258+ healthcare revenue cycle companies to know | 2020
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Virgil Wong2021-02-01 17:06:512021-07-30 08:31:46Preventing and appealing clinical denials with analytics, automation, and AI
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Virgil Wong
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Virgil Wong2021-01-20 19:46:542021-07-30 08:30:15COVID-19 and healthcare: 3 areas of market focus
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Krishna Kumar2021-01-13 08:58:002021-07-30 08:27:19Three digitized ways to improve the member experience
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Virgil Wong2021-01-06 22:07:382021-07-30 08:27:45A COVID-19 update from our company’s consulting physician
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Krishna Kumar2021-01-05 09:05:002021-07-30 13:27:49Eyeing the future: E/M will disrupt, the PHE will end, telehealth will stay
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Krishna Kumar2020-12-10 09:06:002021-07-30 13:28:13HGS Axispoint Health and Parkland Community Health Plan partner to deliver disease management
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Virgil Wong2020-11-25 00:33:002021-09-14 11:32:15Member experience: Never a better time for digital enablement
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Michelle Caddey Maclean2020-10-15 17:32:002021-12-01 18:18:44Donna Martin, SVP of HGS Healthcare, is a Stevie award-winning “Female Executive of the Year – Business Services” for 2020
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Krishna Kumar
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Krishna Kumar2020-10-01 03:45:002021-09-12 17:51:45HGS introduces EDE Pathway Solution to streamline enrollment for health plan issuers to be utilized by brokers and consumers
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Virgil Wong
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Virgil Wong2020-09-22 17:00:142021-11-23 11:44:34Precision utilization management: Meeting patients where they are
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Krishna Kumar
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Krishna Kumar2020-08-27 04:06:002021-12-03 12:31:52Everest Group identifies HGS Healthcare team as a Major Contender and star performer in its Healthcare Payer Operations Services PEAK Matrix®
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Virgil Wong
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Virgil Wong2020-08-05 12:48:472021-11-23 11:58:52Bridging provider-payer gaps with today’s technology
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Kimberly Dou
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Kimberly Dou2020-07-15 12:48:002021-12-03 12:36:19HGS Healthcare team members recognized with a 2020 IAOP Global Impact Sourcing Award
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Virgil Wong
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Virgil Wong2020-07-10 15:37:512021-09-12 16:40:384 ways that healthcare systems can manage denied claims
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Virgil Wong
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Virgil Wong2020-06-19 14:46:282021-09-12 16:39:47Healthcare customer engagement: Charting an empathetic experience
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Virgil Wong
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Virgil Wong2020-03-05 09:16:342021-11-26 09:55:49For a more holistic SDoH picture, look at social determinants of mental health
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Virgil Wong
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Virgil Wong2020-02-05 11:02:302021-12-24 12:45:21Picking up the pace: Healthcare’s evolution to social media
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Kimberly Dou
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Kimberly Dou2020-01-15 09:51:002021-12-29 14:58:36Webinar | Social determinants of health: Your questions answered
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Virgil Wong
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Virgil Wong2020-01-06 18:02:142021-11-26 09:58:5120/20 vision: 9 trends at the heart of tomorrow’s healthcare
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Virgil Wong
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Virgil Wong2019-11-19 21:38:042021-12-24 12:30:10Medical credentialing: A safeguard worthy of significant support
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Virgil Wong
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Virgil Wong2019-09-10 20:54:392021-11-26 10:08:39Next frontier in healthcare claims automation
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Michelle Caddey Maclean
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Michelle Caddey Maclean2019-09-05 07:00:002021-09-12 17:52:29HGS hits $1 billion in recovered payments for healthcare systems’ toughest claims
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Kimberly Dou
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Kimberly Dou2019-08-26 14:00:002022-02-22 07:00:54eBook | The uberification of health insurance
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Virgil Wong
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Virgil Wong2019-07-30 19:01:002021-11-26 10:26:27Pulse check on healthcare delivery transformation
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Virgil Wong
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Virgil Wong2019-06-19 00:13:582022-01-04 11:28:123 ways collaborative care can drive better outcomes
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Virgil Wong
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Virgil Wong2019-05-01 10:57:492022-01-04 11:25:18Volume-to-value shift drives surge in demand for revenue cycle management outsourcing
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Virgil Wong
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Virgil Wong2019-04-03 10:28:302022-01-04 11:24:224 ways healthcare BPO partnerships deliver
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Virgil Wong
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Virgil Wong2019-02-20 12:13:162022-01-04 11:26:55Provider database management: Getting it right
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Virgil Wong
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Virgil Wong2019-01-23 11:31:232022-01-04 11:20:49Re-engineer, automate to avoid claims errorsHealthcare resources are more scarce than ever. We specialize in augmenting healthcare teams to deliver better patient, member, business, and financial outcomes.
Factoring the needs of health plans and providers, we interact with members and patients to deliver evidence-based, timely, preventative, personalized, cost-effective, and whole-person care that improves health, value, and quality of life.
We help you to help others by assuming responsibility for non-core activities, such as day-to-day claims processing, clinical appeals, member administration, customer service, provider management, data management and analytics, collections, compliance and adherence, and back-office administration.
HGS Healthcare assists payers by supporting transformative initiatives across your entire ecosystem.
HGS Healthcare knows the pressures that provider practices face and understands where to focus assets for optimal patient experience.
We have three decades of customer care expertise and industry-leading compliance.
HGS Healthcare’s deep pharma expertise and industry-leading compliance ensure process excellence.
Maximizing value with
As one of the world’s largest healthcare payers, this HGS Healthcare client works closely with brokers and consultants to develop innovative programs; help individuals and families improve their health, well-being, and sense of security; and lower their medical costs.
Speak with an expert to hear more success stories and learn how we can help your organization.
