Among offshore vendors, EXL supports the broadest range of healthcare management activities. EXL’s end-to-end clinical operations offerings place a huge focus on patient management, particularly in the areas of member engagement for care management programs . EXL Healthcare has approximately 1,200 clinicians and 900 non-clinicians providing a wide range of care coordination, claim management and administrative services to risk-bearing entities.
EXL’s highly-trained staff provides valuable assistance with patient management through offerings such as administering risk assessments and surveys, precertification and predetermination, UR coordination for authorizations and identification and stratification of potential participants.
Top healthcare and workers compensation carriers are realizing quantifiable and lasting impact from EXL, including up to a 50% reduction in total operating costs, improved quality of care, improved plan efficiency, peer review acceptance of more than 99.8%, and turnaround time that meets URAC-prescribed standards.
Managed Long Term Services and Supports (MLTSS)
A leading US home healthcare provider partnered with EXL to standardize its operations and improve utilization, while enhancing its customer and patient experience.
Get a behind the scenes look at EXL Healthcare’s multi-location clinical operations and 1,200+ nurses that partner with clients every day to improve health outcomes and drive cost reduction.
Utilization Management provides an opportunity for carriers to improve care and save costs through reviews and appeals, medical records summarization and data analytics
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