EXL Health overview
FORGING THE WAY TO ADVANCE HEALTHCARE TRANSFORMATION
At EXL Health, we believe in the power of Human Ingenuity – our innate ability to work alongside our clients to create solutions to solve their most complex problems. When combined with our customer-centric approach, digital, data and analytics services and technologies, and deep domain expertise, we make healthcare transformation happen. We do this through:
Digitally & Analytic-Enabled Insights
Driving Cost Transformation
Creating Quality Transformation
Accelerating Value-Based Transformation
"The EXL Health team is a highly responsive, trusted partner who are experts at what they do. TRUST. If I need anything, I will get what they think the right answer is, regardless of how it affects my account. I value that."
Executive Director Leading National Health Plan
The EXL Health Approach
We bring innovation, automation and performance excellence to our clients to impact payment accuracies, cost management, quality outcomes and appropriate utilization – all key to value-based performance success.
EXL Health achieves this through our:
VALUE-ADDED CAPACITY
Domain expertise infused with intelligence to drive meaningful outcomes
TECHNOLOGY & ANALYTIC - ENABLED SOLUTIONS
Digital and technology platforms informed by analytics and driven by automation for a unique 360o view
INSIGHT & ADVISORY SERVICES
A consultative approach to pinpoint precise recommendations, prescribe actions, and operational insights
Who We Serve
Our diverse client base enables us to manage data on more than 150 million covered lives across the healthcare value chain and empowers our team of domain experts to drive collaboration, innovation, and bring a unique perspective to solving their most complex challenges.
PAYERS
- Manage population risk
- Reduce overall health claim expenditures
- Improve member care quality
- Improve member and provider experience
- Decrease administrative waste
- Drive member acquisition
- Optimize revenue opportunities
- Drive network performance
PHARMACY BENEFIT MANAGERS (PBMs)
- Manage member drug benefits
- Ensure cost containment while improving quality outcomes
- Reduce costs associated with incorrectly billed or overpaid pharmacy claims
- Drive member acquisition
- Improve provider and member experience
PROVIDERS
- Revenue cycle management
- Finance and accounting operations
LIFE SCIENCES
- Determine patient personas that are impactable and intervenable
- Understand the dynamic paths of a patient treatment journey
- Profile patients that are non-adherent
- Assess cost of care and its driving factors
- Monitor performance of outcomes-based contracts
Why EXL Health
EXL Health is committed to the success of our clients. Your success is our success. And for that, we are determined to go the extra mile to develop highly collaborative partnerships and deliver solutions to meet unique client needs.
In addition to the healthcare capabilities outlined above, EXL Health delivers industry-leading finance and accounting services. These services are embedded with advanced analytics and driven by automation technologies to impact bottom line results and ensure compliance. Our team of domain experts support health industry clients across the globe and bring experience and expertise across general ledger and accounting, accounts payable, payroll, treasury, taxes, financial planning and analysis, as well as internal controls. In addition to finance and accounting services, EXL Health supports our clients with legal and human resource shared services.
Our investment in our healthcare talent pool enables us to deliver the highest quality services to our clients. We augment our existing team by attracting professionals with demonstrated experience and domain expertise. EXL Health uses industry- leading training and education through our proprietary Healthcare Academy to advance knowledge and skills across the organization.
EXL Health has deep, deep, analytical knowledge and are easy to work with. They bring a wealth of data science knowledge to the table. If you want to have a really good analytical discussion about your data, they're the people to talk to.
Director of Care Management
Blues Plan
The EXL Health Team
6,000+
Healthcare Professionals
2,100+
Clinical Resources
550+
Data Scientists
300+
Coding & Claims Experts
Our commitment to our client partners’ success is realized by leveraging Human Ingenuity as the catalyst with which we solve complex problems. We will do this by looking and going deeper, by adapting and adopting quickly, and by combining domain expertise, data and analytics, and cutting-edge technology.
EXL's extensive analytics add substantial value in accuracy and accurate identification of overpayments and improved provider experience. EXL is a pleasure to work with and, we value each new opportunity to have them help us improve and transform our Payment Integrity efforts.
Executive Director
Leading National Health Plan
