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Sagility

October 20, 2024

Transforming Contact Centers into Innovation Hubs: The Role of AI in Creating New Opportunities

The contact center has a front row seat to generative AI (GenAI) in the workplace. Traditionally seen as cost centers focused on customer service, contact centers are now poised to become innovation hubs. This AI-driven transformation is not just automating routine tasks but also creating new roles, augmenting existing ones, and reskilling agents for future-ready positions. In Healthcare Business Today Sagility’s Abhishek Danturti Sharma, AVP Business Transformation, and Rob Adhikari, Vice President of Sales, share new insights with “Transforming Contact Centers into Innovation Hubs: The Role of AI in Creating New Opportunities.”

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Sagility

October 7, 2024

Achieving Payment Integrity Precision in the Age of AI

There are significant opportunities all along the payer points of service. Payment integrity (PI), as a touchpoint central to claims adjudication, reimbursement, and value-based care delivery, is ideally suited to the enhanced accuracy, savings, and speed to pay. But it’s not technology in isolation that will solve for the complexities of this point of service. Read “Achieving Payment Integrity Precision in the Age of AI,” in HealthCare Business News by Subrahmanyam Mantha, Vice President, Payment Integrity Practice, Sagility.

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Sagility

October 7, 2024

Connecting the Healthcare Lifecycle: Administrative Services to Clinical Operations

From front and back office to clinical, operational excellence that connects points of service is more important than ever. All along the member/patient journey, tech enablement creates new opportunities to bridge gaps. In this Forbes Business Development Council article by Sagility’s Chief Growth Officer Sohail Djariri, read insights into how healthcare services partners can help to provide better efficiency and care for everyone involved.

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Sagility

October 1, 2024

Reimagining the Healthcare Contact Center: The Impact of Generative AI on Payers and Providers

On the front lines of today’s healthcare experience and engagement, contact centers are set for a profound transformation. Generative AI (GenAI) and agentic learning systems are evolving to operate with greater autonomy and adaptation through continuous feedback. Read new insights on this topic in “Reimagining the Healthcare Contact Center: The Impact of Generative AI on Payers and Providers,” by Sagility’s Associate Vice President, Business Transformation Abhishek Danturti Sharma, as published in Call Center Times.

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Sagility

September 26, 2024

How GenAI Solves for Challenges in the Healthcare Front Office

Today’s large language models and GenAI are driving optimized experience at a scale humanly impossible before. In the HIT Consultant article “How GenAI Solves for Challenges in the Healthcare Front Office,” find out more about how GenAI is transforming the front-office customer service touchpoint, with insights from Sohail Djariri, Chief Growth Officer, Sagility, and Kevin Terrell, Cofounder and CEO, BirchAI, a Sagility company.

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Sagility

September 26, 2024

Meeting the Aging-in-Place Member at Home

Older people are hoping to spend their golden years in a familiar and comfortable place — their home. The aging population creates a growing need for focused aging in place services. Sagility is happy to share insights by Susan Smith, our Director of Clinical Practice. In this article “Meeting the Aging-in-Place Member at Home,” published in McKnight’s Home Care, she shares key factors influencing the scope and effectiveness of an emerging program

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Sagility

August 13, 2024

Enhancing Provider Experience through Electronic Prior Authorization

The old adage “build it and they will come” is a recipe for disaster when it comes to electronic prior authorization. For what it’s worth, a poor portal experience will not improve provider collaboration; however, it will cause undue frustration for practices. Glean insights into enhancing portal experience in this a First Report Managed Care article by Krithika Srivats, MSOTR, SVP, Clinical Practice and Products, Sagility; Nikki Henck, Senior Director, Utilization Management, Sagility.

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Sagility

August 8, 2024

Sagility Wins Bronze in the Stevie® Awards for Employer of the Year

Our nomination highlighted Sagility’s significant employee satisfaction increases and commitment to our Voice of Employee feedback and leadership action planning.

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Sagility

August 7, 2024

The Critical Imperative for Health Plans to Tackle Late Payment Interest

Today’s health plans continue to pay healthcare providers significant penalties and interest when they violate prompt pay laws for clean claim-delayed processing due to various processes, disparate systems, and dependencies on functional groups. In this MedCity News article, read how health plans can reduce late payment interest by up to 25% year over year, with insights from Sagility experts Manju Byrappa, Vice President, Solutions and Practice Lead and Zaffar Kahn, Associate Vice President of Transformation & AI.

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Sagility

August 5, 2024

Payer-Provider Synergy: Aligning at the Fulcrum Points

Payer-provider collaboration represents a crucial opportunity to bridge the gap between those who provide care and those who finance it. Find out how healthcare organizations can leverage opportunities in critical areas in this First Report Managed Care article, authored by our experts Krithika Srivats, Senior Vice President, Clinical Practice, Sagility, and Jason Besterfeldt, Vice President, Sales, Sagility.

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Sagility

July 10, 2024

Easing the Nursing Shortage Burden With Wins on Quality, Cost, Scale

Already challenged with cost, care, and administrative pressures, health care organizations are now staring down a daunting talent supply-and-demand gap. This shortage will negatively affect affordability and access to care for consumers and bears profitability risks for providers, payers, and other health care stakeholders.

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Sagility

June 21, 2024

Information Security and Compliance: Solving for 3 Security Pain Points

Cyberattacks on healthcare organizations call for a security refresh. In the Medical Economics article "Information Security and Compliance: Solving for 3 Security Pain Points" Sagility Director of Technology Ram Shastry shares key guidance.

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Sagility

May 31, 2024

Star Ratings Success: Making it about the Customer

New ratings methodology has raised the bar for healthcare Star success, so it’s a good time to redefine what high Star ratings means to the members. This means connecting the dots of experience for satisfied members and true value creation for respective Medicare plans. Health plans can meet upgraded expectations with focus beyond customer service—as supported by healthcare domain knowledge and a high-touch experience across three critical areas: Claims, Medical Management, and Provider synergies.

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Sagility

May 7, 2024

4 Ways to Mitigate Breaches and Security Crises in Healthcare

In this article recently published in Health IT Answers, our thought leaders Carlos Estrada, M.S., Vice President of Information Security, Sagility, and Matthew Betts, Director, Provider Client Services, Sagility, share guidance on how healthcare organizations can navigate today’s ransomware attacks and data breaches.

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Sagility

April 1, 2024

3 Ways Prior Authorization Transformation will Change Health Care

Read this Medical Economics article as Nikki Henck, Senior Director of Utilization Management at Sagility, unveils three pivotal insights into prior authorization transformation. Discover how recent CMS regulations are set to automate PA processes, slashing wait times.

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Sagility

March 26, 2024

Sagility Acquires BirchAI, a GenAI Company in the Healthcare Space

Sagility to transform member, patient and provider interactions using BirchAI’s SaaS platform

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Sagility

March 7, 2024

Addressing the Public Health Toll of Falls

Delve into the McKnight’s Home Care analysis by Lisa Doggett, MD, MPH, FAAFP, Senior Medical Director at Sagility, in her article "Addressing the public health toll of falls." With a professional and compassionate approach, Lisa illuminates the pervasive impact of falls, offering real-world examples and evidence-based strategies for prevention.

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Sagility

February 17, 2024

Fiscal Health for Providers: Precision Cost Takeout in Three Areas

As today’s hospital margins are increasingly in the red, and health systems are asked to do more with less, all eyes are on cost removal. According to a survey on healthcare outsourcing conducted by Black Book Market Research LLC, 90% of healthcare executives are exploring cost savings through relationships with third-party vendors.

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Sagility

January 15, 2024

Unlocking 4 Areas of Provider Network Value in the Wake of Surprise Billing Mandates

Provider network teams are faced with the challenge of enhancing healthcare delivery while ensuring provider satisfaction remains at its zenith. In an insightful MedCity News article, Lohit Thammanna, Manager Operations and Practice, Sagility, sheds light on "Unlocking 4 Areas of Provider Network Value.”

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Sagility

January 5, 2024

4 Ways to Win with Claims Denials

Expert authors Krithika Srivats, Sr. Vice President, Clinical Practice and Products, Sagility, and Belinda Pentony Cridge, Vice President of Client Services, Sagility, made it to the Health IT Answers list of “Most read thought leader posts” for December. Check out “4 Ways to Win with Claims Denials”— and find out how to significantly decrease denials costs.

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Sagility

December 4, 2023

Solving Health Care’s End-to-End Challenges With Generative AI

Health care can no longer afford to ignore tech disruption and enablement. From disparate data sources across multiple stakeholders to tedious, error-prone operational tasks, the industry’s challenges are uniquely suited to transformation driven by generative AI. Every day, the industry increasingly embraces these disrupters, with breakthrough transformation examples like AWS HealthScribe for clinical transcription and Epic integrating GPT-4 into its electronic health record.

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Sagility

November 2, 2023

BPO, Supercharged: Business Process as a Service Drives Scale, Savings While Exponentially Enhancing Outcomes

Discover how BPO is no longer just about cost-cutting; it's a supercharged strategy that drives scalability, savings, and, most importantly, unprecedented outcomes. Find out more in our blog/article, “BPO, Supercharged: Business Process As A Service Drives Scale, Savings While Exponentially Enhancing Outcomes,” by Sagility team members Srikanth Lakshminarayanan, Umesh Chandorkar and Nikki Henck.

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Sagility

April 26, 2023

Press Release: Sagility LLC Acquires Devlin Consulting, Inc.

Sagility LLC, a leading provider of technology-enabled business process management (BPM) services, announced today their acquisition of Chandler, Arizona-based Devlin Consulting, Inc. (DCI). For the past 28+ years, DCI has made a name for itself as a healthcare technology services company providing payment integrity services to several of the country’s leading health plans.

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Sagility

March 25, 2023

Transformative AI to Revamp Prior Authorizations

Health plans are unnecessarily burdened by administrative tasks such as prior authorization—a costly bottleneck to optimized care and operational outcomes. Recent American Hospital Association (AHA) research states that that 95% of providers spend increasing time seeking prior authorization approval.

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Sagility

March 14, 2023

Challengers of the Status Quo In Billing and Claims — More Accurate and Fairer Payment

Take a look into this month's cover story series of the companies, trends and ideas that are shaking things up and reshaping the contour of how healthcare is paid for and delivered. Below spotlights business process management firm Sagility and its chief growth officer, Sohail Djariri, who breaks down payment integrity when it comes to fraud detection.

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