Healthcare Payer Solutions - Healthcare Management | EXL

Let’s partner your way to drive your business forward

EXL Health works with you to stay ahead of the value-based curve to drive transformation across cost, quality, and member/provider experience. Our deep domain expertise and extensive capabilities across the healthcare ecosystem uniquely position us to deliver heightened value to your business and exceed the needs of your providers, members and key stakeholders.

EXL Impact

Powering the success of global industry leaders

Our extensive data assets, advanced analytics methodologies, and digital capabilities, coupled with our domain expertise, help you improve quality of care and patient outcomes, enhance member engagement, and manage the cost of care.

Our innovation includes proprietary platforms, including Risk Adjustment, care management, end-to-end HEDIS, and STARS and HEDIS optimization strategies.

Our data management expertise helps you make sense of and manage your data, enabling you to turn your data into an asset that delivers insights for better decision making.

Payer solutions

Evolving solutions for evolving needs

Data analytics

Data analytics

<p>Drive better outcomes and informed decision-making through total cost of care analytics, population health solutions, and member engagement</p>

Payment Integrity

Payment Integrity

<p>Identify and prevent or recover from payment errors associated with improper claims payments</p>

Pharmacy services

Pharmacy services

<p>Strengthen operational effectiveness, improve medication utilization and adherence, and enhance clinical and financial outcomes.</p>

Clinical services

Clinical services

<p>Digital first end-to-end care management services and solutions</p>

Risk adjustment and quality

Risk adjustment and quality

<p>Industry-leading and KLAS recognized risk adjustment and quality expertise</p>

Generative AI for healthcare

Generative AI for healthcare

<p>The implementation of cloud technology and the ability to use data at scale has been generating value in enterprises. Now, adding generative AI to this mix creates a catalyst to dramatically boost productivity and lower costs by assisting human interactions with automation</p>

Awards and recognition

Spotlight on achievements in excellence

Leader in Everest Group

A Leader in Everest Group's Payment Integrity Solutions | EXL (exlservice.com)

Leader in Everest Group

EXL is recognized as a Leader for its platforms, partnership ecosystem, and client satisfaction.

Leader in ISG Provider Lens Healthcare Digital services 2023

Leader in ISG Provider Lens Healthcare Digital services 2023

Leader in Everest Group

Leader in Everest Group Clinical and Care Management (CCM) Operations PEAK Matrix® Assessment 2023

Insights

Explore the latest perspectives

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Healthcare needs a generative AI strategy

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Prepay itemized bill review delivers $5.2M in savings

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Generative AI in healthcare The importance of data manag...

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