Insights

Case studies and success stories

Examples of superior outcomes we’ve achieved for our clients

Payment integrity and healthcare costs shown with money, stethoscope, and calculator

HGS Healthcare Gains Momentum in Revenue Cycle Management as Providers Look Beyond Pandemic and Focus on Financial Recovery

Improving experience with projected cost savings of $1.5 million

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Transforming provider engagement services from a cost center to a provider experience center

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Driving down dissatisfaction for leading payer

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HGS Healthcare helps boost a payer’s NPS® to 80

Healthcare system billing

Predictive analytics boost health system’s cash collections by 15%

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US hospital system achieves >60% overturn of denials

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Improving cash flow collections by more than $35 million annually

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From-scratch strategic provider data stewardship earns wins across quality, compliance, and cost-containment

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Leading physician network provider improves data accuracy with PDM, saving nearly $1 million

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Claims automation saves $1.5M annually with 22% efficiency gains

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Driving increased efficiency in appointment booking and patient inquiries for a major hospital system

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Saving $82 million with proactive UM and analytics focused on the most impactable members

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Cognitive appeals automation cuts costs by up to 50%, spikes Star ratings for major payer

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Accelerating claims reimbursement with HGS clinical denials advanced recovery

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Intake expertise takes a new line of business from inception to $100 million in 3 years

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Driving revenue in an FDA-regulated environment

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Achieving breakthrough member NPS® and CSAT for a global healthcare payer

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Steering nearly 60% collections improvement for a health system

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Supporting DME provider growth with stellar collections

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Combining rightshoring and design thinking to reduce costs and improve value-based care

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Delivering innovation and $20 million in annual savings for casualty third-party administrator

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Using analytics to improve financial recovery by 80% for healthcare system leader

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RPA incubation and re-engineering for major payer drives $3 million in annual savings

Deploying smart automation to re-engineer leading payer’s collections, enrollment, and eligibility

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Focused care management and improved patient engagement lead to nearly 4:1 ROI for a state agency

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Boosting health plan sales productivity, reducing fixed overhead costs and improving workflow for a non-profit care organization

Dramatically exceeding collection and resolution goals on very aged accounts

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