Using Automation to Improve Value

A large national payer was struggling to automate the process of discovering diabetes medication gaps. Their method of identifying medication gaps manually from daily contact reports, Salesforce, call recordings, and other collecting methods was resulting in decreased efficiencies.

Human Ingenuity

Delivering an Intelligent AQA Solution Leveraging advanced domain expertise and a holistic digital approach, EXL Health delivered an intelligent AQA solution to automate the client’s gaps in the care audit process.

Results

  • The client reported an initial quality improvement of near 100% for static data and 70% for audit automation, with a roadmap to improving to a production level agreed by the client
  • Demonstrated a measurable process efficiency to the client’s operations
  • Created a business case for a wider production rollout to achieve 30% greater efficiency

Contact us to learn how EXL Health helped other clients transform the way healthcare is delivered, managed, and paid.