HGS's holistic healthcare solutions build long-term relationships that engage and retain your members and patients.
Partnering for Better Outcomes
Payers
Manage your member and provider lifecycles while helping your members lead healthier lives.
Providers
Combine revenue cycle management and licensed care professionals to provide a great experience for your patients.
Labs and DME
Multi-language customer support, technical support, triage and order intake, collections /billing.
Pharma and Life Sciences
Industry-leading compliance and deep pharma expertise ensure process excellence.
Workers Comp
Help control costs by leveraging registered nurses and coders to review medical bills for accuracy.
SOLUTIONS FOR EVERY STAGE OF THE CUSTOMER LIFECYCLE
Choose a Plan
Enrollment and Onboarding
Market Review
Finding Providers
ClaimsBUSINESS PROBLEMS
SOLUTION
BUSINESS PROBLEMS
Design a digital CX and journey that is humanSolutions
- Web and mobile experience design
BUSINESS PROBLEMS
Brand AwarenessSolutions
- Lead Generation Experts
- Marketing Tech + Services
- Digital Experience
- Data + Analytics
Solutions
- Digital Marketing Experts
- Data + Analytics
- Marketing Tech + Services
BUSINESS PROBLEMS
Brand ReputationSolutions
BUSINESS PROBLEMS
Providing omni-channel member experienceSolutions
- Voice Click-to-Chat with Licensed agents
- Chat analytics for proactive chat invites
BUSINESS PROBLEMS
Secure portal for plan shoppingSolutions
- Web portal for plan shopping
- Live or virtual assistant for quotes
CASE STUDY
HGS Turns Challenges into Conversion, Retention Opportunities for Fortune 200 Insurer
Learn moreBUSINESS PROBLEMS
SOLUTION
BUSINESS PROBLEMS
Telesales with licensed professionalsSolutions
- Telesales
BUSINESS PROBLEMS
Back-officeSolutions
- Back-office new member fulfillment
BUSINESS PROBLEMS
Member portalsSolutions
- Self-service member portals
CASE STUDY
Boosting Sales Productivity, Reducing Fixed Overhead Costs, and Improving Workflow for a Health Plan
Learn moreBUSINESS PROBLEMS
SOLUTION
BUSINESS PROBLEMS
Customer SatisfactionSolutions
- Member and Provider Calls
- Medicare, Medicaid, and commercial client support services
BUSINESS PROBLEMS
Member EngagementSolutions
- Member Engagement
BUSINESS PROBLEMS
Social Determinants of HealthSolutions
CASE STUDY
Achieving Breakthrough Member CSAT for Major Payer
Learn moreBUSINESS PROBLEMS
SOLUTION
BUSINESS PROBLEMS
Provider directory upkeepSolutions
- Provider Directory Management
BUSINESS PROBLEMS
Appointment SchedulingSolutions
BUSINESS PROBLEMS
Utilization ReviewSolutions
- UM, collaboration on Model of Care
CASE STUDY
Provider Database Management
Learn moreBUSINESS PROBLEMS
SOLUTION
BUSINESS PROBLEMS
Claims StatusSolutions
- Phone support for claims status
- Coding
BUSINESS PROBLEMS
Claims denialsSolutions
- Back-end insurance claims resolution
- Clinical Denials and Root Cause Analytics
BUSINESS PROBLEMS
Revenue cycle managementSolutions
- Front-end Patient Access services
- Mid-cycle charge integrity, medical coding, billing
- Remittance posting
BUSINESS PROBLEMS
Billing support servicesSolutions
- Medical coding, medical cost management, prior authorization
CASE STUDY
Deploying Smart Automation to Re-engineer Leading Payer’s Collections, Enrollment, and Eligibility
Learn moreBUSINESS PROBLEMS
SOLUTION
BUSINESS PROBLEMS
Case and Utilization ManagementSolutions
- Population Health Solutions
BUSINESS PROBLEMS
Health Risk AssessmentsSolutions
- Health Risk Assessments
BUSINESS PROBLEMS
Social Determinants of HealthSolutions
- Verifying and delivering a care plan with analytics
BUSINESS PROBLEMS
Identifying most impactful membersSolutions
BUSINESS PROBLEMS
Nursing staff overwhelmedSolutions
CASE STUDY
AxisPoint for Social Determinants of Health
Learn morePayers
Drive Value Across Every Aspect of Health Plan Operations
HGS Health+CARE assists payers by supporting transformative initiatives across your entire ecosystem
Achieving Breakthrough Member CSAT for Major Payer
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RPA Incubation and Re-engineering for Major Payer Drives $3 Million in Annual Savings
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HGS Jamaica: Recruiting, Engagement to Drive Member Satisfaction for Health Insurer
Learn moreProviders
HGS Population Health Management: Driving Better Outcomes for Providers and Patients
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Driving Increased Efficiency in Appointment Booking, Healthcare Queries for a Major Hospital Chain
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Steering Nearly 60% Collections Improvement for a Health System
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Dramatically Exceeding Collection and Resolution Goals on Very Aged Accounts
Learn moreLabs and DME
Integrating Front-Office and Back-Office Processes to Drive Real Outcomes
Three decades of customer care expertise and industry-leading compliance
Supporting DME Provider Growth with Stellar Collections
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Recovering $140 Million for Diagnostics Leader
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Driving Revenue in an FDA-Regulated Environment
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Building to Scale with Intake Expertise to Support 19% Savings
Learn morePharma and Life Sciences
Control Costs While Driving Business Process Transformation
HGS's Health+CARE deep pharma expertise and industry-leading compliance ensure process excellence
HGS and CPG Leader Achieve the CX WOW Factor
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Combining Rightshoring and Design Thinking to Reduce Costs and Improve Value-Based Care
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3 Ways Healthcare Engagement Models Differ from Other Industries
Learn moreHOW CAN WE HELP?
We'd love to hear from you.
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