Success Stories: Navigating Healthcare Operations Through Our Case Studies
Increasing Member NPS and CSAT for a Global Healthcare Payer
Faced with the challenge of stricter CMS regulations and the need to improve member engagement, a global health insurer partnered with Sagility.
$30 Million Cash Flow Improvement
Sagility helped a leading payer significantly increase their ability to recoup overpayments, resulting in improved cash flow collections by more than $30 million annually.
Achieving A/R Reduction for Nearly 90% Resolution
Sagility assists a healthcare client in resolving high-aged, complex AR claims, resulting in significant reductions and successful cash collection through systematic problem-solving.
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.
400% Scale for Group and IFP Business
Transitioning health plan insurance claims can be timely and difficult. Harder still is making the transition when you’re on a time crunch, and rapid scale-up is crucial. This was the case recently for one longstanding health plan partner who wanted to transition their Group and IFP claims business.
Achieving 100% CSAT and ACQA Accreditation
Sagility addressed care gaps within a Medicaid population for a client in Texas by assembling an expert team and fostering effective communication to improve clinical turnaround time, compliance, and member experience.
Dental Plan Review: Improving Efficiencies, Accuracy, and Time
Sagility helps a top-five payer in the dental industry overcome challenges related to manual processing of dental claims and appeals by implementing a three-pronged approach involving automation, AI, and human resources.
Employing Clinical Process Outsourcing to Drive Down Medical Costs For a Major Payer
Sagility helped a leading healthcare payer reduce unnecessary medical costs and improve customer well-being by implementing a Case Management Program staffed with trained nurses.
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).