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

Solutions

Business problems

Brand awareness

Business problems

Brand Reputation

Business problems

Providing omni-channel member experience

Solutions

Business problems

Enrollment portal redirects and Enrollments lost

Business problems

Secure portal for plan shopping

Solutions

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

Case study

Business problems

Solutions

Business problems

Telesales with licensed professionals

Solutions

Business problems

Back-office

Solutions

  • Back-office new member fulfillment

Business problems

Member portals

Solutions

  • Self-service member portals

Case study

Business problems

Solutions

Business problems

Customer satisfaction

Solutions

  • Member and provider calls
  • Medicare, Medicaid, and commercial client support services

Business problems

Member engagement

Solutions

  • Member engagement

Business problems

Social Determinants of Health

Case study

Business problems

Solutions

Business problems

Provider directory upkeep

Solutions

  • Provider Directory Management

Business problems

Appointment Scheduling

Business problems

Utilization Review

Solutions

  • UM, collaboration on Model of Care

Case study

Business problems

Solutions

Business problems

Claims status

Solutions

  • Phone support for claims status
  • Coding

Business problems

Revenue cycle management

Solutions

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

Business problems

Billing support services

Solutions

Case study

Business problems

Solutions

Business problems

Case and Utilization Management

Business problems

Health Risk Assessments

Business problems

Social Determinants of Health

Solutions

  • Verifying and delivering a care plan with analytics

Business problems

Identifying most impactful members

Business problems

Nursing staff overwhelmed

Solutions

Case study

 

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

Accelerating claims reimbursement with HGS clinical denials advanced recovery

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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.