healthcare
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
Business problems
Solutions
Business problems
Brand awareness
Business problems
Brand Reputation
Solutions
Business problems
Providing omni-channel member experience
Business problems
Enrollment portal redirects and Enrollments lost
Solutions
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 for Fortune 200 Insurer
Learn moreBusiness problems
Solutions
Business problems
Telesales with licensed professionals
Solutions
Business problems
Back-office
Solutions
- Back-office new member fulfillment
Business problems
Member portals
Solutions
Case study
Boosting Sales Productivity, Reducing Fixed Overhead Costs, and Improving Workflow for a Health Plan
Learn moreBusiness 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
Solutions
Case study
Achieving Breakthrough Member CSAT for Leading Payer
Learn moreBusiness problems
Solutions
Business problems
Provider directory upkeep
Solutions
Business problems
Appointment Scheduling
Solutions
Business problems
Utilization Review
Solutions
- UM, collaboration on Model of Care
Case study
Leading physician network provider improves data accuracy with PDM, saving nearly $1 million
Learn moreBusiness problems
Solutions
Business problems
Claims status
Solutions
- Phone support for claims status
- Coding
Business problems
Claims denials
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
- Medical coding, medical cost management, prior authorization
- Claims Automation
- Propensity to Pay
Case study
Deploying Smart Automation to Re-engineer Leading Payer’s Collections, Enrollment, and Eligibility
Learn moreBusiness problems
Solutions
Business problems
Case and Utilization Management
Solutions
Business problems
Health Risk Assessments
Solutions
Business problems
Social Determinants of Health
Solutions
- Verifying and delivering a care plan with analytics
Business problems
Identifying most impactful members
Solutions
Business problems
Nursing staff overwhelmed
Solutions
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
Case Study
Achieving Breakthrough Member CSAT for Leading Payer
Learn more
Case Study
RPA Incubation and Re-engineering for Major Payer Drives $3 Million in Annual Savings
Learn more
Case Study
Claims automation saves $1.5 million annually for leading payer
Learn moreProviders
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
Case Study
Accelerating claims reimbursement with HGS clinical denials advanced recovery
Learn more
Case Study
Driving Increased Efficiency in Appointment Booking, Healthcare Queries for a Major Hospital Chain
Learn more
Case Study
Steering Nearly 60% Collections Improvement for a Health System
Learn more
Case Study
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
Case Study
Supporting DME Provider Growth with Stellar Collections
Learn more
Case Study
Recovering $140 Million for Diagnostics Leader
Learn more
Case Study
Driving Revenue in an FDA-Regulated Environment
Learn more
Case Study
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
Case Study
HGS and CPG Leader Achieve the CX WOW Factor
Learn more
Case Study
Combining Rightshoring and Design Thinking to Reduce Costs and Improve Value-Based Care
Learn more
Blog
