Providers
Flexible partnerships to reduce the cost of care and improve clinical outcomes
Provider organizations and Accountable Care Organizations (ACOs) are urgently working to enhance the patient and staff experience, improve care outcomes, and optimize operational efficiency and profitability. At EXL, we help providers and ACOs address these challenges with data-driven solutions that offer the right level of support to solve the biggest challenges.
Together, let’s find a better way
EXL has experience serving providers and ACOs with a thorough understanding of the complexities caused by competing and aligned incentives to reduce cost of payments and maximize revenue capture.
Thousands of healthcare data scientists, architects, and engineers with deep provider domain and operations expertise can extract value hidden in data.
Our deep, enterprise-wide understanding of where automation is most needed can help drive up staff productivity and patient satisfaction.
Our thousands of U.S. licensed nurses and administrative staff can augment providers’ clinical and operational capacity.
What we do
Improve Operating Margins
- HCC coding analysis and risk suspecting
- NLP driven chart review and coding services
- Best in KLAS Risk Adjustment
- Provider performance dashboards
Improve the Patient Experience
- Contact center operations
- AI driven patient engagement
- Clinical nurse triage
- Customer journey mapping
- Conversational AI
Drive Health Outcomes
- Predictive risk stratification
- Gap identification and quality improvement
- SDOH and barrier identification
- Predictive risk models
Increase Operational Efficiency
- End-to-end Utilization Management
- Automated case management platform
- Intelligent analytics workflow integration
- Clinical and non-clinical capacity services
Accelerate revenue capture
- RCM workflow design and assessment
- Optimal analytics for workflow performance enhancement
- Payment Posting
- Denials Management & Insurance A/R Follow-Up
Drive growth and profitability
- General ledger accounting
- Accounts payable
- External & Govt. reporting
- Financial planning & analysis
If you are a Provider who has received a request for documentation or has a question regarding correspondence received from EXL, please visit this link.
Featured insights
White paper
Generative AI in healthcare The importance of data manag...
White paper
Generative AI in healthcare The importance of data management
Generative AI offers a once-in-a-century opportunity to transform healthcare by addressing old and new problems in entirely new ways.
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White paper
Generative AI offers a once-in-a-century opportunity to transform healthcare by addressing old and new problems in entirely new ways.
White paper
Foundational risk adjustment transformation drives signi...
White paper
Foundational risk adjustment transformation drives significant improvement in value-based programs
NEMG Partners with EXL Health, leveraging embedded data & analytics in its operations, to achieve sustained value-based care performance results for risk-bearing Medicare population.
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White paper
NEMG Partners with EXL Health, leveraging embedded data & analytics in its operations, to achieve sustained value-based care performance results for risk-bearing Medicare population.
Solution sheet
Risk adjustment & quality
Solution sheet
Risk adjustment & quality
In today’s healthcare environment, risk-based program performance is impacted by the lack of comprehensive data and analytics needed to accurately and comprehensively perform risk adjustment and quality programs. To heighten matters, payers and providers must collaborate to meet value-based targets, creating several factors that contribute to less than optimal performance, including
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Solution sheet
In today’s healthcare environment, risk-based program performance is impacted by the lack of comprehensive data and analytics needed to accurately and comprehensively perform risk adjustment and quality programs. To heighten matters, payers and providers must collaborate to meet value-based targets, creating several factors that contribute to less than optimal performance, including
Case study
Cognitive AI solution transforms contact center for lead...
Case study
Cognitive AI solution transforms contact center for leading healthcare organization
EXL EXELIA.AI™ solution automates key call intents for precertification process
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Case study
EXL EXELIA.AI™ solution automates key call intents for precertification process
White paper
How healthcare organizations can harness the power of da...
White paper
How healthcare organizations can harness the power of data to achieve a sustainable business advantage
In healthcare, the volume of data is growing exponentially, yet for many organizations, the ability to extract operational value from that data is lagging behind other more data-led industries.
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White paper
In healthcare, the volume of data is growing exponentially, yet for many organizations, the ability to extract operational value from that data is lagging behind other more data-led industries.
Case study
Digital plus human ingenuity helps value-based care clie...
Case study
Digital plus human ingenuity helps value-based care client streamline outreach for rapid growth
When a major physician-led value-based care organization began searching for a partner in early 2022 to help create a scalable, world-class clinical contact center to accommodate growth, they chose EXL Health. Our expertise in call center operations, experience in mitigating outsourcing risk, and deep domain experience contributed to their decision.
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Case study
When a major physician-led value-based care organization began searching for a partner in early 2022 to help create a scalable, world-class clinical contact center to accommodate growth, they chose EXL Health. Our expertise in call center operations, experience in mitigating outsourcing risk, and deep domain experience contributed to their decision.
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