What we do

Health plans increasingly demand that service providers address top-of-mind objectives. To meet these challenges, we offer a wide variety of solutions.

Our solutions enable health plans to precisely manage their most vulnerable members, addressing the physical, psychological and social drivers to impact outcomes.

Our approach, powered by our proprietary advanced analytics and rules engine, reduces claim overpayments by identifying and addressing fraud, waste and abuse. 

Our unmatched data and analytics capaibilities identify and attract profitable members. Once enrolled, we transform how our clients engage with their members and patients.

Intelligence

Digital Intelligence is the foundation of everything we do and inspires our ideas and research.

Real results

For businesses that aren't satisfied with good enough, or profitable enough, we use Digital Intelligence to deliver real results. 

Why EXL
Digital Transformation. Strengthened by deep healthcare knowledge.

EXL’s clinical teams, analytics experts, and care management technologists, backed by unparalleled knowledge of the changing healthcare landscape, deliver solutions that address the industry’s most critical challenges. We partner with clients to achieve optimized outcomes, both financial and clinical.
 
These efforts have received recognition from healthcare industry analysts; most recently we were named a “Leader” in the “IDC MarketScape: U.S. Healthcare Clinical and Financial Analytic BPO Services 2017 Vendor Assessment,” and we were positioned in the “Winner’s Circle” in the “HfS Blueprint Report: Healthcare Business Operations Services 2017.”

5 of the top 10
US health plans partner with us
1850+ nurses
delivering care management outcomes
1 in 6 american
lives touches by CareRadius®