Home / Case Study Listing Page Case Studies Success Stories: Navigating Healthcare Operations Through Our Case Studies Case Study AI, RPA Improves Dental Appeals , Boosts Efficiency by 30%, Accuracy by 50% Learn how Sagility applied AI and RPA to payer dental appeals, driving automation, claims management, and improved operational efficiency. Case Study AI and RPA Transform Appeals, Reducing Cost by 30% Sagility transformed appeals with AI and RPA, reducing costs by 30%, enhancing payer services, and boosting Star Ratings for providers. Case Study Achieving Payer Migration with “Zero Disruption” Discover how Sagility enabled seamless payer migration with zero disruption, boosting payer services, claims management, and cost savings. Case Study Agile Claims Migration to Facets Platform Saves $11M for Payer Explore how Sagility drove agile claims platform migration, delivering $11M in savings, improved claims, automation , and payer efficiency. Case Study Claims Automation Saves $1.5 Million Annually for Leading Payer Learn how Sagility helped a leading payer automate claims and save $1.5M annually, improving operational efficiency and claims management. Case Study Sagility Reduces Interest, Penalties by 30% for Leading Blues Plan Case Study Corrected Claims RPA Saves Leading Blues Plan $1M Case Study Mitigating Overutilization to Reduce a D-SNP Medical Spend by $145M Case Study 15+ Year Tenure with U.S. Health Plan: Scaling Care and Cutting Costs Case Study How Sagility Supported Transforming a Global Health Plan Case Study How a D-SNP Cut $70M in PCA Spend While Improving Member Outcomes Case Study D-SNP Saves $11M in Part B Drug Spend with Improved Utilization Case Study Duals Plan Saves $51M with Risk Stratification and Care Management Advancements Case Study Frailty Resilience in Action: Smart Step Cuts Claims by 18% 18% Claims Reduction After Implementing a Frailty Care Management Program Case Study Navigating Disputes: Resolving a $10 Million Underpayment Challenge Case Study Maintaining Margins in a Shifting Landscape: The Role of Payment Integrity Amidst Rising Medical Costs Case Study Optimizing Claims Accuracy: Leveraging Subject Matter Experts to Address Payment Discrepancies in a Complex Managed Care Environment Case Study Sagility’s GenAI Nurse Assist to Achieve Efficiencies, Faster Care Case Study Achieving High AR Resolution For this client, Sagility provided resolution for a segment/payer mix of AR GT 180+ days claims aged from date of service. Case Study Claims Automation Aims to Save Payer Approximately $6 Million Case Study Provider Data Stewardship Earns Wins in Quality, Compliance, and Cost-containment Sagility resolved data management and operational challenges for a rapidly growing health plan by implementing a comprehensive solution that optimized provider data management (PDM). Case Study Achieving Significant Scale to Support HealthRules Payer Migration Aiding a longstanding health plan partner migrate their $3 million Medicare Advantage membership plans to HealthRules Payer seamlessly. Case Study Improving Cash Flows by Advancing PI Recovery Collections of $15-20 Million Every Month Sagility helped a leading payer significantly increase their ability to recoup overpayments, resulting in improved cash flow collections by more than $30 million annually. Case Study Driving Breakthrough Member NPS and CSAT for a Global Faced with the challenge of stricter CMS regulations and the need to improve member engagement, a global health insurer partnered with Sagility.
