HGS Healthcare
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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
- 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
- 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
- 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
Posts by category
- 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
- 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 Gains Momentum in Revenue Cycle Management as Providers Look Beyond Pandemic and Focus on Financial Recovery
- 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 can I monitor an older loved one’s alcohol consumption?
- 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
- Providers, payers need to move beyond compliance with FHIR interoperability, experts say. 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
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