How is EXL Healthcare Payer Services and Solutions different.
Unique, flexible delivery approach coupled with deep domain expertise, analytics and technology to deliver proven value for our clients
Investments in advanced digital solutions and technology
Delivers innovation, automation and real outcomes
What we do

EXL’s technology and analytics-enabled solutions and services help payers control costs, reduce health claim expenditures, and better manage member quality and health outcomes.

Payment Services
Comprehensive, holistic payment lifecycle transformation solutions enabled by analytics, technology and digital innovation. Control costs, reduce overall health claim expenditures, and optimize revenue opportunities. [+]

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Clinical Services
End-to-end care management services and solutions enabled by analytics, technology and automation to drive innovation, capacity, compliance, efficiencies and effectiveness across health plan clinical operations. [+]

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Pharmacy Services
EXL leverages its healthcare domain expertise coupled with our operational, analytical and digital assets to deliver Pharmacy solutions and services that help our clients improve operational effectiveness and enhance clinical and financial outcomes.

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WHY EXL FOR HEALTHCARE PAYER SERVICES

Healthcare payers are under pressure to remain competitive by reducing costs while improving services and health outcomes for their members.

EXL helps our clients meet and exceed their goals through our deep industry expertise, advanced analytics and data assets, and powerful digital solutions to let payers know not only the best strategies for navigating the market today, but for the future as well.

This comprehensive, holistic approach to reimbursement and auditing capabilities means payers can realize revenue opportunities, improve service delivery, and cut costs. Combined with our clinical services for health plan payers, EXL is able to deliver end-to-end value across payment and clinical outcomes.

Leader
Everest Group: Clinical Care Management Services and Healthcare Analytics PEAK MatrixTM Assessments (2019)
Top Ranking
“Payer Quality and Risk Analytics” KLAS (2018)
Leader
in NelsonHall's NEAT for "Healthcare Commercial Payer BPS" (2019)
Leader
in NelsonHall's NEAT for "Business Process Transformation through RPA & AI" for Healthcare (2018)
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