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Report | See why Everest Group named HGS Healthcare a Leader!
Webinar | Clinical denials and appeals management A technology-led strategy
Webinar | COVID-19: Promoting vaccine acceptance and addressing hesitancy
Case Studies
Portfolio Items
Improving experience with projected cost savings of $1.5 million
Transforming provider engagement services from a cost center to a provider experience center
Aging in Place Example - Proactively addressing the care plan, reducing falls to zero
Driving down dissatisfaction for leading payer
HGS Healthcare helps boost a payer's NPS® to 80
Predictive analytics boost health system’s cash collections by 15%
US hospital system achieves >60% overturn of denials and a projected $.3 million in annual savings
Improving cash flow collections by more than $35 million annually
From-scratch strategic provider data stewardship earns wins across quality, compliance, and cost-containment
Leading physician network provider improves data accuracy with PDM, saving nearly $1 million
Claims automation saves $1.5M annually with 22% efficiency gains
Driving increased efficiency in appointment booking and patient inquiries for a major hospital system
Saving $82 million with proactive UM and analytics focused on the most impactable members
Cognitive appeals automation cuts costs by up to 50%, spikes Star ratings for major payer
Accelerating claims reimbursement with HGS clinical denials advanced recovery
Intake expertise takes a new line of business from inception to $100 million in 3 years
Driving revenue in an FDA-regulated environment
Achieving breakthrough member NPS® and CSAT for a global healthcare payer
Steering nearly 60% collections improvement for a health system
Supporting DME provider growth with stellar collections
Combining rightshoring and design thinking to reduce costs and improve value-based care
Delivering innovation and $20 million in annual savings for casualty third-party administrator
Using analytics to improve financial recovery by 80% for healthcare system leader
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
Focused care management and improved patient engagement lead to nearly 4:1 ROI for a state agency
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
Deploying clinical process outsourcing to drive down medical costs for health insurance plan
Blog, news, white papers, eBooks and webinars
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Awards
Everest Group identifies HGS Healthcare team as a Major Contender and star performer in its Healthcare Payer Operations Services PEAK Matrix®
Donna Martin, SVP of HGS Healthcare, is a Stevie award-winning “Female Executive of the Year – Business Services” for 2020
Dr. Lisa Doggett is a Stevie award-winning “Female Executive of the Year – Business Services” for 2021
HGS Healthcare team recognized as a Leader in Healthcare Payer Operations PEAK Matrix® Assessment 2022
HGS Healthcare team placed in the 2021 Gartner Magic Quadrant for Customer Service BPO
HGS Healthcare team is recognized as a High Achiever in the Healthcare Payer NEAT 2021 report
HGS Healthcare team recognized as an Innovator in the RCM Business Process Transformation 2021 RadarView Report
HGS Healthcare team recognized as a Major Contender for revenue cycle management (RCM) operations – Services PEAK Matrix® Assessment 2021
HGS Healthcare team recognized by IAOP as a Leader for ten years in a row!
HGS Healthcare team members recognized with a 2020 IAOP Global Impact Sourcing Award
Blog
20/20 vision: 9 trends at the heart of tomorrow’s healthcare
3 fresh ideas for winning the war for healthcare talent
3 payment integrity imperatives in post-pandemic healthcare
3 ways collaborative care can drive better outcomes
Three ways healthcare engagement models differ from other industries
4 ways healthcare BPO partnerships deliver
4 ways that healthcare systems can manage denied claims
5 provider coding myths, debunked
For better RCM, prioritize people and track with technology
Bridging provider-payer gaps with today’s technology
Building a successful data culture in the post-pandemic healthcare reality
COVID-19 and healthcare: 3 areas of market focus
A COVID-19 update from our company’s consulting physician
Health plan guidance: 3 essentials for no-surprises Act compliance
Healthcare customer engagement: Charting an empathetic experience
HGS Healthcare Future-Class Digital Series: How Back-Office Accelerators Are Steering Optimized Experience
HGS Healthcare future-class digital series: Front-office accelerators
Medical credentialing: A safeguard worthy of significant support
Member experience: Never a better time for digital enablement
For a more holistic SDoH picture, look at social determinants of mental health
Next frontier in healthcare claims automation
Picking up the pace: Healthcare’s evolution to social media
Pre-pay, post-pay, and blended payment integrity: Prevention worth the cure
Precision utilization management: Meeting patients where they are
Preventing and appealing clinical denials with analytics, automation, and AI
Provider database management: Getting it right
Pulse check on healthcare delivery transformation
Re-engineer, automate to avoid claims errors
The human side of healthcare analytics
Volume-to-value shift drives surge in demand for revenue cycle management outsourcing
eBooks
eBook | The uberification of health insurance
Events
ACAP CEO Summit 2021
Association of Community Affiliated Plans (ACAP) CEO Summit
California Association of Health Plans annual conference
Healthcare Innovation’s Rocky Mountain Summit
HFMA annual conference
HFMA annual conference
HGS Healthcare sponsoring the Intercompany Long-Term Care Insurance (ILTCI) Conference in March 2022
International Association of Outsourcing Professionals OWS 2022
RISE Special Needs Plan Leadership Summit
Special Needs Plan Alliance 18th Annual Fall Forum
Texas Association of Health Plans
HGS Healthcare
258+ healthcare revenue cycle companies to know | 2020
Webinar | Aging in place: Integrating fall risk assessment to ward off frailty
COVID-19 and healthcare: 3 areas of market focus
COVID-19: Promoting vaccine acceptance and addressing hesitancy
COVID-19 vaccines for children: Timing, side effects, and more
Effectively handling clinical denials amid a pandemic backlog of elective surgeries
Eyeing the future: E/M will disrupt, the PHE will end, telehealth will stay
Feds seek more vaccines at practices, but delays hamper the plan
Four strategies to help providers focus on patient care and financial recovery as Delta variant spreads
HGS Axispoint Health and Parkland Community Health Plan partner to deliver disease management
HGS AxisPoint Health provides ACAP plans insight to promote COVID vaccine acceptance, address hesitancy
HGS AxisPoint Health receives NCQA Case Management and Population Health Program reaccreditations
HGS AxisPoint Health to speak at SNP Alliance Spring Roundtable
HGS divests its Healthcare Services business
HGS Healthcare introduces HGS Aging in Place™ and Falls Prevention for seniors living longer at home
HGS hits $1 billion in recovered payments for healthcare systems’ toughest claims
HGS introduces EDE Pathway Solution to streamline enrollment for health plan issuers to be utilized by brokers and consumers
How Back-Office Accelerators Are Steering Optimized Experience
How can an older adult regain strength after a hospitalization?
How do I respond to false accusations from an older adult with dementia?
How parents’ attitudes toward COVID-19 vaccines have changed
How payment integrity tools can help payers to tackle fraud, waste, and abuse
How to talk to someone who’s hesitant to get the COVID-19 vaccine
Modeling impactability with predictive analytics can drive better outcomes in whole-person care
Modernizing your contact center: The first step toward a more engaging patient experience
New CMS data interoperability rule takes effect July 1
Partha DeSarkar, Global CEO, HGS was interviewed by CNBC TV18 on the HGS healthcare divestment deal
Partha DeSarkar, Global CEO, HGS was interviewed by Zee Business on the HGS healthcare business hive off
Pediatricians say children need to be back in school: Here’s why
Report | Recover lost revenue
See why Everest Group named HGS Healthcare a Leader!
Webinar | Social determinants of health: Impacting highest-need populations
Webinar | Social determinants of health: Your questions answered
Three digitized ways to improve the member experience
Three strategies to win and retain healthcare talent
Three ways to not be surprised by the No Surprises Act
Vaccine hesitancy training helps health workers answer questions for the undecided
Webinar recap: Highlights from “Aging in place: Integrating fall risk assessment and prevention to ward off frailty”
What are some minor changes for a safer home environment for seniors?
What Experts Think of Fauci’s Declaration that the United States is Past the COVID-19 Pandemic Phase
Podcasts
How technology is improving healthcare outcomes
PUBLIC HEALTH INSIGHT PODCAST
Press Coverage
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Webinars
Webinar | Clinical denials and appeals management A technology-led strategy
Whitepapers
Report | HGS recognized as a leader in Gartner 2021 Magic Quadrant for customer service BPO
Report | Count on a star performer!
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