Health insights | EXL

Major insurer’s shift from cloud warehouse to Databricks lakehouse

How a major insurer transformed their data strategy Migrating from cloud data warehouse to a unified data lakehouse on Databricks

EXL and Databricks deliver high-performance analytics solution to…

EXL and Databricks deliver high-performance analytics solution to improve patient scheduling and access for a leading healthcare organization

Agentic AI and the rise of intelligent automation for payment…

Agentic AI and the rise of intelligent automation for payment integrity

Modernizing healthcare analytics: How EXL and Databricks delivered a…

Modernizing healthcare analytics: How EXL and Databricks delivered a scalable, multi-tenant platform

Improved medical record prioritization with AI-enhanced audits

Improved medical record prioritization with AI-enhanced audits

The 5 attributes that set winning payment integrity programs apart

The 5 attributes that set winning payment integrity programs apart

Empower your payment integrity program with AI

Empower your payment integrity program with AI

Unlock the power of AI in your payment integrity program

Unlock the power of AI in your payment integrity program

Manage data challenges in life sciences using AI technology

Manage data challenges in life sciences using AI technology

EXL health performance marketing services

EXL health performance marketing services

Interoperability in Healthcare

Creating a connected healthcare ecosystem to drive better quality and financial outcomes

Digital Healthcare Operations: Case management

EXL Digital Healthcare Operations

Clinical quality management Hedis/Stars

Clinical quality management Hedis/Stars

Cognitive AI solution transforms contact center for leading…

Cognitive AI solution transforms contact center for leading healthcare organization

Together, we will do this.

Together, we will do this.

Healthcare needs a generative AI strategy

Reports & research

Forrester Opportunity Snapshot.

Global operational model triples revenue for national payment…

Global operational model triples revenue for national payment integrity program

EXL Health leads the way to provide payment integrity for telehealth…

EXL Health leads the way to provide payment integrity for telehealth claims

A data-led, AI-driven approach to drive healthcare transformation

A data-led, AI-driven approach to drive healthcare transformation

Prepay itemized bill review delivers $5.2M in savings

Prepay itemized bill review delivers $5.2M in savings

Healthcare services analyst e-book Highlighting a year of client…

Reports & research

Analyst recognition e-book

EXL PBM Solutions

EXL PBM Solutions

Call center transformation future-proofs PBM for lower cost, unified…

Call center transformation future-proofs PBM for lower cost, unified member experience

Generative AI in healthcare The importance of data management

Generative AI in healthcare The importance of data management

Reduce risk and maintain compliance with AI-enabled solutions

Reduce risk and maintain compliance with AI-enabled solutions

Data-driven analytics revved up revenue cycle of national vision care…

Data-driven analytics revved up revenue cycle of national vision care services organization for improved growth

The patient experience: Leveraging data for personalized care

The patient experience: Leveraging data for personalized care

Digital transformation: Health plans poised to reduce operational…

Digital transformation: Health plans poised to reduce operational costs by 50% over the next 5 years

Pharmacy Services solution sheet

Pharmacy Services solution sheet

Employer group identifies improvement with population health…

Employer group identifies improvement with value based benefit design and member level interventions

Healthcare payer achieves significant cost savings with opioid…

Healthcare payer achieves significant cost savings with opioid education program

Employer group reporting for brokers

Employer reporting for brokers

EXL leads health and wellness corporation’s innovation transformation

EXL leads health and wellness corporation’s innovation transformation

EXL Health and REVELOHEALTH close provider services agreement with…

EXL Health and REVELOHEALTH close provider services agreement with national single specialty medical practice

EXL Health clinical informatics

EXL Health clinical informatics

EXL Health Clinical Services

et’s partner your way to drive quality outcomes and impact medical spend trends

EXL Health creates cost-savings through cloud migration

EXL Health creates cost-savings through cloud migration

EXL Health Data and Analytics

Let’s make sense of the data to drive innovation and informed decision making

EXL Health delivers data management for value-based care

EXL Health delivers data management for value-based care

EXL Health digital

Transforming How Healthcare is Delivered, Managed and Paid

EXL Health Integrated Revenue Management Services

EXL Health Integrated Revenue Management Services

EXL Health Payment Integrity

EXL Health Payment Integrity

EXL Health subrogation solutions

EXL Health subrogation solutions

EXL Health, in partnership with REVELOHEALTH™, OneCareCost™

EXL Health, in partnership with REVELOHEALTH™, OneCareCost™

EXL Nervehub™

EXL Nervehub™

EXL payment capacity services

EXL payment capacity services

EXL Technology services

EXL Technology services

EXL XTRAKTO.AI

EXL XTRAKTO.AI™

Improving gaps in care closure through digital innovations

Improving gaps in care closure through digital innovations

Innovative dashboard architecture empowers real-time decision making

Innovative dashboard architecture empowers real-time decision making

How EXL helped a large U.S. healthcare payer improve its Medicare…

How EXL helped a large U.S. healthcare payer improve its Medicare sales

Interoperability in Healthcare

Creating a connected healthcare ecosystem to drive better quality and financial outcomes

Leader in ISG Provider Lens™ Healthcare Digital Services 2021

Reports & research

Leader in ISG Provider Lens™ Healthcare Digital Services 2021

Leader in ISG Provider Lens™ Healthcare Digital Services 2022

Reports & research

Leader in ISG Provider Lens™ Healthcare Digital Services 2022

Making utilization and case management leaner, more efficient

Making utilization and case management leaner, more efficient

Maximize shared savings from value-based care

Maximize shared savings from value-based care

Medicare sales operational support

Medicare sales operational support

Minimize payment disputes, increase collections and protect revenues

Minimize payment disputes, increase collections and protect revenues

Moving to full outsourcing subrogation services delivers over $4M…

Moving to full outsourcing subrogation services delivers over $4M annual savings

New staffing and operating model improve contact center operations…

New staffing and operating model increase contact center operations and patient satisfaction

No surprises act & price transparency rule: impact & strategy

No surprises act & price transparency rule: impact & strategy

Now is the time to consider pre-payment integrity services

Now is the time to consider pre-payment integrity services

Payment integrity services

Payment integrity services

PBM and Pharmacy client reporting

PBM and Pharmacy client reporting

PBM companies turn to AI to improve operations and deliver better…

PBM companies turn to AI to improve operations and deliver better customer experiences

Pharmacy and PBM client reporting

Pharmacy and PBM client reporting

Population health management for providers

Population health management for providers

Pre-pay clinical payment integrity program drives results

Pre-pay clinical payment integrity program drives results

Proactive risk management and improved outcomes with population…

Proactive risk management and improved outcomes for a leading health plan through EXL Health population analytics

Rebuilding Payment Integrity in a post-pandemic world

Rebuilding Payment Integrity in a post-pandemic world

Retrospective risk recapture powered by EXLCLARITY™

Retrospective risk recapture powered by EXLCLARITY™

Risk adjustment & quality

Risk adjustment & quality

Risk stratification scoring model for vulnerable populations

8Risk stratification scoring model for vulnerable populations

Savings, efficiencies & innovation delivered to top-tier health…

Savings, efficiencies & innovation delivered to top-tier health plan

Second-level coding review with NLP technology and expert validation

Second-level coding review with NLP technology and expert validation

Streamline and simplify HEDIS retrospective data collection

Streamline and simplify HEDIS retrospective data collection

Subrogation services generate significant recovery savings

Subrogation services generate significant recovery savings

Take charge of your revenue cycle management

Take charge of your revenue cycle management

Health risk assessment intake services

Health risk assessment intake services

Health equity for Health plans

Health equity for Health plans

Transforming payment integrity to prevent aberrant and fraudulent…

Transforming payment integrity to prevent aberrant and fraudulent billing behaviors

Value across the care spectrum

Value across the care spectrum

Foundational risk adjustment transformation drives significant…

Risk adjustment transformation drives significant shared savings

Five key findings about the work of F&A teams in their quest to…

Explore five key findings on the work of F&A teams to become data driven in Banking & Financial services(BFS) organizations

EXLMINE™

Digital, automated workflow platform for full audit lifecycle management

With technology, new revenue cycle management challenges arise

With technology, new revenue cycle management challenges arise

Whole person health management

Whole person health management

End-to-end healthcare member acquisition

End-to-end healthcare member acquisition

Enabling a pharmacy benefit manager to increase dollar returns 48.6%…

Enabling a pharmacy benefit manager to increase dollar returns 48.6% YOY

Employer reporting solution sheet

Employer reporting

Emerging population risk management

Emerging population risk management

Improving cyber threat management for a pharma company

EXL improves cyber threat management for a leading pharmaceutical and consumer products organization

Embracing intelligent automation in healthcare

Now is the time: embracing intelligent automation in healthcare

Digital innovations improve patient outcomes

Digital innovations improve efficiency, quality and patient outcomes

Digital healthcare operations

Digital healthcare operations

Data management

Data management

Coordinated care organization faces subrogation lien perfection…

Coordinated care organization faces subrogation lien perfection challenges

Clinical quality management Hedis/Stars

Clinical quality management Hedis/Stars

Central nurse triage program improves patient experience

Central nurse triage program improves patient experience for multi-specialty group practice

CareRadius™ platform fully integrates and automates workflows

CareRadius™ platform fully integrates and automates workflows

CareRadius™

CareRadius™

CareRadius

Integrated & analytic enabled care management platform

Benchmarking

Benchmarking

AQA offers efficiency gains and quality improvement

AQA offers efficiency gains and quality improvement

AQA (Smart Audit)

AQA (Smart Audit)

Advanced analytics-driven DRG clinical auditing solutions resulted in…

Advanced analytics-driven DRG clinical auditing solutions resulted in significant improved savings

A transformation partnership outline

A transformation partnership outline

A pathway to more efficient finance and accounting operations

A pathway to more efficient finance and accounting operations

Leader in 2023 Everest PEAK Matrix® for Healthcare Data and Analytics…

Reports & research

A Leader in 2023 Everest PEAK Matrix® for Healthcare Data and Analytics Services

A Leader and Star Performer in 2022 Everest PEAK Matrix® for Payer…

Reports & research

A Leader and Star Performer in 2022 Everest PEAK Matrix® for Payer Operations

A holistic approach to wellbeing

A holistic approach to wellbeing

A collaborative partnership leads to an ever-evolving payment…

A collaborative partnership leads to an ever-evolving payment integrity program

5 Ways to bolster risk adjustment in healthcare using predictive…

5 Ways to bolster risk adjustment in healthcare using predictive analytics

Managing headwinds in the Medicare Advantage marketplace

Managing headwinds in the Medicare Advantage marketplace

Payment integrity analytics solution delivers $3M in recoveries…

Payment integrity analytics solution delivers $3M in recoveries annually

Digital Healthcare Operations: Best practices

EXL Digital Healthcare Operations

Digital Healthcare Operations: Call centers

EXL Digital Healthcare Operations

EXL’s data-driven analytics helps U.S. healthcare provider reach goal…

EXL’s data-driven analytics helps U.S. healthcare provider reach goal of $15 million in savings

Predictive Analytics: The perfect tonic to bolster risk adjustment…

Predictive Analytics

Specialized analytics solutions deliver $17M in recoveries for…

Specialized analytics solutions deliver $17M in recoveries for payment integrity professional program

Intelligent operations in today’s healthcare landscape

Intelligent operations in today’s health care landscape: Why adding digital is the key to success

Digital Healthcare Operations: Digital utilization management

EXL Digital Healthcare Operations

Innovation during pandemic results in successful virtual pharmacy…

Innovation during pandemic results in successful virtual pharmacy audit program

EXL Health Pre-Payment Auditing Services

EXL Health Pre-Payment Auditing Services

Digital Healthcare Operations: Case management

EXL Digital Healthcare Operations

Digitized onsite audit solution enhances process efficiency and PHI…

Digitized onsite audit solution enhances process efficiency and PHI compliance

Mid-market health payer achieves $1.8M in savings from pre-pay bill…

Mid-market health payer achieves $1.8M in savings from pre-pay bill review

Enhance provider experience with EXL’s data-led, digital provider…

Enhance provider experience with EXL’s data-led, digital provider portal and automated calling platform

Digitally-enabled data mining approach expands scope of audit…

Digitally-enabled data mining approach expands scope of audit opportunities

A Leader in 2023 Everest Group PEAK Matrix® for Payer Operations

Reports & research

A Leader in 2023 Everest PEAK Matrix® for Payer Operations

Whole person health risk

Whole person health risk

Making complex government reporting scalable – yet customizable

EXL Health makes complex government reporting scalable – yet customizable

EXL patient engagement platform

EXL patient engagement platform