Insights

Case studies and success stories

Examples of superior outcomes we’ve achieved for our clients

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 and a projected $.3 million in annual savings

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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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Deploying clinical process outsourcing to drive down medical costs for health insurance plan

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