Partnering for Better Outcomes
HGS's holistic healthcare solutions build long-term relationships that engage and retain your members and patients.
Consumer Driven Healthcare Solutions
Consideration
- Web and mobile experience design
- Search engine optimization, search engine marketing, social media marketing
- Google ads
- Landing page
Choosing a Plan
- Voice, click to chat for sales support, and general questions
- Chat analytics for proactive chat invites
- Web portal for plan shopping
- Live or virtual assistant for quotes
Enrollment and Onboard
- Tele sales with licensed agents
- Back office–new member welcome kits fulfillment
- Self help for member portal
- Chat for member portal set up and assistance
Market Review
- Text or speech analytics for VOC
- Intuitive marketing
- Omni channel community events support
- Online reputation management
Finding the Right Provider
- Virtual assistant for “find a doctor”
- Provider directories
- Appointment scheduling
- Nurse concierge via phone, chat, or video chat
Support or Submit a Claim
- Phone support for claims status
- Billing support services, Medical coding, Medical cost management, prior authorizations
- Customer care
Care Management
- Wellness preventative outbound support
- Case and utilization management
- Identifying and delivering a care plan via analytics
- Omni channel education and preventative communication
Payers
Providers
Pharma
Labs and DME
Inbound customer service, technical support, triage and order intake, customer qualification services, collections/billing
Drive Value Across Every Aspect of
Health Plan Operations
HGS Health+CARE assists payers by supporting transformative initiatives across your entire ecosystem
Transforming Traditional Care Management with CarePoint
Imagine if you could identify your members by chronic conditions and vulnerabilities, while realizing significant cost avoidance for your members? HGS's NCQA-accredited CarePoint helps you to accomplish both.
Achieving Breakthrough Member CSAT for Major Payer
CLIENT CHALLENGE As one of the world’s largest healthcare payers, this HGS client work
RPA Incubation and Re-engineering for Major Payer Drives $3 Million in Annual Savings
Truly transformative partnerships are built with the confidence and transparency to
HGS Jamaica Site Delivers Record Provider Satisfaction for Major Health Insurer
Today’s healthcare payers are taking a more customer-centric approach. This means
Make Patient Engagement a Priority
HGS Health+CARE knows the pressures that provider practices face and understands where to focus assets for optimal patient experience
HGS Population Health Management: Driving Better Outcomes for Providers and Patients
In the changing healthcare marketplace, technological efficiencies and strategic
Driving Increased Efficiency in Appointment Booking, Healthcare Queries for a Major Hospital Chain
OBJECTIVE Today’s healthcare providers are catching up to the retail world, which has
Dramatically Exceeding Collection and Resolution Goals on Very Aged Accounts
Today’s optimized revenue cycle management is increasingly complex for providers, who
Control Costs While Driving Business Process Transformation
HGS's Health+CARE deep pharma expertise and industry-leading compliance ensure process excellence
Robotic Process Automation driving cost simplification & reducing time
3 Ways Healthcare Engagement Models Differ from Other Industries
Combining Rightshoring and Design Thinking to Reduce Costs and Improve Value-Based Care
In 2000, a top 10 healthcare payer wanted to test the idea of handling claims
Integrating Front-Office and Back-Office Processes to Drive Real Outcomes
Three decades of customer care expertise and industry-leading compliance
Employing Process, Automation, and Clinical Expertise to Recover $140 Million for Diagnostics Leader
Objective Today’s healthcare stakeholders—from hospitals, DME manufacturers, and
Good Health for Virgin Health Bank
About the Client Our client is one of the few companies in the UK that offers its
