healthcare

HGS's holistic healthcare solutions build long-term relationships that engage and retain your members and patients.

Partnering for Better Outcomes

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SOLUTIONS FOR EVERY STAGE OF THE CUSTOMER LIFECYCLE

BUSINESS PROBLEMS

SOLUTION

BUSINESS PROBLEMS

Design a digital CX and journey that is human

Solutions

  • Web and mobile experience design
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BUSINESS PROBLEMS

Brand Awareness

Solutions

  • Lead Generation Experts
  • Marketing Tech + Services
  • Digital Experience
  • Data + Analytics


Solutions

  • Digital Marketing Experts
  • Data + Analytics
  • Marketing Tech + Services

BUSINESS PROBLEMS

Brand Reputation
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BUSINESS PROBLEMS

Providing omni-channel member experience

Solutions

  • Voice Click-to-Chat with Licensed agents
  • Chat analytics for proactive chat invites
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BUSINESS PROBLEMS

Secure portal for plan shopping

Solutions

  • Web portal for plan shopping
  • Live or virtual assistant for quotes

CASE STUDY

HGS Turns Challenges into Conversion, Retention Opportunities

HGS Turns Challenges into Conversion, Retention Opportunities for Fortune 200 Insurer

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BUSINESS PROBLEMS

SOLUTION

BUSINESS PROBLEMS

Telesales with licensed professionals
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Solutions

  • Telesales

BUSINESS PROBLEMS

Back-office

Solutions

  • Back-office new member fulfillment
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BUSINESS PROBLEMS​​​​​​​

Member portals

Solutions

  • Self-service member portals​​​​​​​

CASE STUDY

Boosting Sales Productivity, Reducing Fixed Overhead Costs, and Improving Workflow for a Health Plan

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BUSINESS PROBLEMS

SOLUTION

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BUSINESS PROBLEMS

Customer Satisfaction

Solutions

  • Member and Provider Calls
  • Medicare, Medicaid, and commercial client support services​​​​​​​
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BUSINESS PROBLEMS

Member Engagement

Solutions

  • Member Engagement
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BUSINESS PROBLEMS

Social Determinants of Health

Solutions​​​​​​​

CASE STUDY

Achieving Breakthrough Member CSAT for Major Payer

Achieving Breakthrough Member CSAT for Major Payer

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BUSINESS PROBLEMS

SOLUTION

BUSINESS PROBLEMS

Provider directory upkeep

Solutions

  • Provider Directory Management
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BUSINESS PROBLEMS

Appointment Scheduling
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BUSINESS PROBLEMS

Utilization Review

Solutions

  • UM, collaboration on Model of Care

CASE STUDY

PDM

Provider Database Management

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BUSINESS PROBLEMS

SOLUTION

BUSINESS PROBLEMS

Claims Status

Solutions​​​​​​​

  • Phone support for claims status
  • Coding

BUSINESS PROBLEMS

Claims denials

Solutions

  • Back-end insurance claims resolution
  • Clinical Denials and Root Cause Analytics

BUSINESS PROBLEMS

Revenue cycle management

Solutions

  • Front-end Patient Access services
  • Mid-cycle charge integrity, medical coding, billing
  • Remittance posting
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BUSINESS PROBLEMS

Billing support services

Solutions

  • Medical coding, medical cost management, prior authorization

CASE STUDY

Deploying Smart Automation to Re-engineer Leading Payer’s Collections, Enrollment,  and Eligibility

Deploying Smart Automation to Re-engineer Leading Payer’s Collections, Enrollment, and Eligibility

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BUSINESS PROBLEMS

SOLUTION

BUSINESS PROBLEMS

Case and Utilization Management

Solutions​​​​​​​

  • Population Health Solutions
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BUSINESS PROBLEMS

Health Risk Assessments

Solutions

  • Health Risk Assessments
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BUSINESS PROBLEMS

Social Determinants of Health

Solutions

  • Verifying and delivering a care plan with analytics
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BUSINESS PROBLEMS

Identifying most impactful members
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BUSINESS PROBLEMS

Nursing staff overwhelmed

Solutions

CASE STUDY

AxisPoint for Social Determinants of Health

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Payers

Drive Value Across Every Aspect of Health Plan Operations

HGS Health+CARE assists payers by supporting transformative initiatives across your entire ecosystem

Photo of image Transforming traditional care
Population Health

Transforming Traditional Care Management with AxisPoint

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Case Study
Achieving Breakthrough Member CSAT for Major Payer

Achieving Breakthrough Member CSAT for Major Payer

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Case Study
RPA Incubation and Re-engineering for Major Payer

RPA Incubation and Re-engineering for Major Payer Drives $3 Million in Annual Savings

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Case Study

HGS Jamaica: Recruiting, Engagement to Drive Member Satisfaction for Health Insurer

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Providers

Case Study
HGS Population Health Management: Driving Better Outcomes for Providers and Patients

HGS Population Health Management: Driving Better Outcomes for Providers and Patients

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Case Study
Driving Increased Efficiency in Appointment Booking, Healthcare Queries

Driving Increased Efficiency in Appointment Booking, Healthcare Queries for a Major Hospital Chain

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Case Study

Steering Nearly 60% Collections Improvement for a Health System

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Case Study
Dramatically Exceeding Collection and Resolution Goals on Very Aged Accounts

Dramatically Exceeding Collection and Resolution Goals on Very Aged Accounts

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Labs and DME

Integrating Front-Office and Back-Office Processes to Drive Real Outcomes

Three decades of customer care expertise and industry-leading compliance

Case Study

Supporting DME Provider Growth with Stellar Collections

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Case Study

Recovering $140 Million for Diagnostics Leader

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Case Study
Driving Revenue in an  FDA-Regulated Environment

Driving Revenue in an FDA-Regulated Environment

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Case Study

Building to Scale with Intake Expertise to Support 19% Savings

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Pharma and Life Sciences

Control Costs While Driving Business Process Transformation

HGS's Health+CARE deep pharma expertise and industry-leading compliance ensure process excellence

Case Study

HGS and CPG Leader Achieve the CX WOW Factor

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Case Study
Combining Rightshoring and Design Thinking to Reduce Costs and Improve Value-Based Care

Combining Rightshoring and Design Thinking to Reduce Costs and Improve Value-Based Care

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Photo of image Transforming traditional care
Healthcare

Robotic Process Automation driving cost simplification & reducing time

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Blog

3 Ways Healthcare Engagement Models Differ from Other Industries

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HOW CAN WE HELP?

We'd love to hear from you.

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