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5 NGPX2019 Insights from a First-Time Attendee

By Kevin Nolan, Global Head of Healthcare Marketing, Sagility This year’s Next Generation Patient Experience (NGPX) conference promised to unite America’s best-and-brightest patient experience leaders to connect, inspire, and transform healthcare. Did it deliver on the promise? Depends on who you ask. Here are my takeaways from the event. Insight: Every health system has a […]

Outsourcing in Jamaica: Your Questions, Answered

Why is Jamaica such a desirable nearshore customer service support location? On November 20, Sagility hosted a webinar featuring speakers to address just that. Our attendees heard about the benefits of Jamaica nearshoring from three experts: Gloria Henry, President of the Business Process Industry Association of Jamaica; Roger Williams, National Outsourcing Coordinator for JAMPRO; and […]

Medical credentialing: A safeguard worthy of significant support

By Priyankar Bhattacharya, Sagility Senior Manager, Provider Network Operations Today’s healthcare payer and provider organizations are increasingly focusing efforts on physician credentialing for real outcomes such as significant cost savings, turnaround time enhancement, accuracy improvement, and reduced rework. This service area originated in the 1960s, with the Darling v. Charleston Community Memorial Hospital case,  which […]

Social Determinants of Health and Impacting Highest-Need Populations: Your Questions, Answered

Today’s payers and providers are integrating atypical factors—demographics, social status, and transportation issues—that influence a patient’s health and choices they are making. These organizations are taking steps to address societal determinants of health (SDoH) in their member programs, leveraging this knowledge for improved outcomes, population health, and value-based healthcare initiatives. At the AHIP-Sagility September 9 […]

Next frontier in healthcare claims automation

By Manjunath, Practice Lead, Claims Adjudication, Sagility Claims optimization continues to provide health insurers a key area of opportunity to reduce consistently high loss ratios.  In fact, the U.S. healthcare industry has a significant opportunity to deploy claims automation to save $11.1 billion annually, according to new data released in the fifth annual CAQH Index. […]

Pre-pay, post-pay, and blended payment integrity: Prevention worth the cure

By Anju Sah, General Manager, Operations; Sagility Today’s payers are increasingly focusing on optimizing claims management as part of a continuous effort to maximize operational cost savings. In fact, according to Black Book research, fraud management is projected to be one of fastest-growing payer services in the global healthcare BPO services market, with 92% […]

Pulse check on healthcare delivery transformation

This article was published in IAOP Pulse magazine. By Anand Natampalli, Sagility Senior Vice President, Sales and Business Development, Healthcare Blink and you’ll miss the latest landscape shift in healthcare delivery. In terms of affordability, access, digital capabilities, and engagement — consumers are consistently upping the ante. As a result, health plans and health systems such […]

3 ways collaborative care can drive better outcomes

By Krithika Srivats, Vice President, Sagility Practice Office  The rising cost of healthcare is dinner-table talk at households across America. And it’s clearly high on the agenda of challenges for payers and providers. In response, there has been a widening scope of emerging analytics and reengineering solutions created primarily to reduce operational effort and […]

Volume-to-value shift drives surge in demand for revenue cycle management outsourcing

By Dan Schulte, Senior Vice President, Sagility Today’s providers are walking a fine balance between the push for healthier patient outcomes and unsustainable cost structure. The hospital revenue cycle, in particular, has become complicated in recent years due to several factors, including the adoption of alternative payment models and greater regulatory demand. Macroeconomic headwinds […]

4 ways healthcare BPO partnerships deliver

By Austin Ridgeway, Director, Sales Support and Business Development, Sagility Healthcare has definitely been making strides toward providing a member and patient experience to rival consumer-centric disruption of other industries. But while healthcare has been slightly behind the B2C curve, payers and providers are actually leading other industries when it comes to leveraging business […]

Provider database management: Getting it right

By Priya Sabharwal, Sagility Practice Leader, Network Operations; and Priyankar Bhattacharya, Senior Manager, Business Excellence The nearly 8.8 million Americans who purchased healthcare coverage during the latest ACA enrollment season—along with the tens of millions who got coverage through other means—will be using their insurer’s network directories to find a provider. Unfortunately, many of those […]

Re-engineer, automate to avoid claims errors

By Manjunath; Practice Lead, Claims Adjudication; Sagility claims management is a focal point of potential transformation for payers and providers alike. The global healthcare claims management market is expected to reach $13.93 billion by 2023, up from a valuation of $10.16 billion in 2017, according to MarketsandMarkets. According to the Council for Affordable Quality […]

7 Trends that Will Define Healthcare in 2019

By Team Sagility:Donna Martin, Sagility Senior Vice President, Business Development, Global Healthcare; Anand Natampalli, Sagility SVP, Sales and Business Development, Healthcare; Daniel Schulte, Senior Vice President, Healthcare; and Krithika Srivats, Vice President, Sagility Practice Office  As we close the books on 2018, it’s a good time to take a peek around the corner at the […]

Design Thinking as Disruption Enabler in Healthcare

By Krithika Srivats, Vice President, Sagility Practice Office  This article was published in HIT Consultant. According to the American Hospital Association, an overwhelming majority of hospital executives consider technological innovation a centerpiece of their long-term organizational goals, particularly as it pertains to solving complex problems and meeting the needs of consumers. However, if you […]

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