Home / Case Study Listing Page Case Studies Success Stories: Navigating Healthcare Operations Through Our Case Studies Case Study Member-Centered Care Yields 81% ROI for Medicare Advantage Plan Learn how a Medicare Advantage plan achieved 81% ROI through a member-centered care model that improved engagement, outcomes, and operational efficiency. Case Study GenAI Nurse Assist to Achieve Efficiencies, Faster Care See how Sagility’s GenAI Nurse Assist reduced prior auth delays, cut clinician admin workload, and improved accuracy to deliver faster, more efficient patient care Case Study Reducing cost by 30% with Optimized Provider Data How Sagility helped a payer improve provider data accuracy, boost compliance, and reduce costs by 30% through tech-led process optimization. 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 Case 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 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 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. Home/Case Study Listing Page Case Studies Success Stories: Navigating Healthcare Operations Through Our Case Studies Case Study Transforming Agent Performance Through AI enabled Automated Audits Case Study Member-Centered Care Yields 81% ROI for Medicare Advantage Plan Case Study GenAI Nurse Assist to Achieve Efficiencies, Faster Care Case Study Reducing cost by 30% with Optimized Provider Data Case Study AI, RPA Improves Dental Appeals, Boosting Efficiency by 30%, Accuracy by 50% Case Study Achieving Payer Migration with “Zero Disruption” Load More
