What we do

We empower data-enabled care management with solutions that truly coordinate care, achieve compliance, and deliver financial results.

Operations Management
Our URAC and NCQA Accredited medical and behavioral health programs help your members lead healthier lifestyles while your plan lowers costs.
MCCM
Our solutions, powered by proprietary behavioral analytics,  enable health plans to precisely manage their most vulnerable members, addressing the physical, psychological and social drivers to impact clinical and financial outcomes.
D-SNP Model of Care
Our approach helps our clients manage the most clinically complex members while also meeting stringent regulations and controlling costs.
Platform
Our flagship CareRadius® platform integrates data from multiple sources and shares it in real time among health plans, practitioners and members, enhancing clinical decision-making and reducing administrative costs.
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 awarded a full URAC Health Utilization Management (HUM) accreditation until March 2022. We were also named a “Leader” by IDC in the healthcare clinical and financial analytics BPO space, and we were positioned in the “Winner’s Circle” in the HfS Healthcare Blueprint Report.

5 of the top 10
US health plans partner with us
1 in 6 American
lives touched by CareRadius®
2,000+ Nurses 
delivering care management outcomes

Contact US