Healthcare Provider Solutions | Health | EXL

Flexible partnerships to reduce the cost of care and improve clinical outcomes

Provider organizations and Accountable Care Organizations (ACOs) are urgently working to enhance the patient and staff experience, improve care outcomes, and optimize operational efficiency and profitability. At EXL, we help providers and ACOs address these challenges with data-driven solutions that offer the right level of support to solve the biggest challenges.

EXL Impact

Powering the success of global industry leaders

EXL has experience serving providers and ACOs with a thorough understanding of the complexities caused by competing and aligned incentives to reduce cost of payments and maximize revenue capture.

Thousands of healthcare data scientists, architects, and engineers with deep provider domain and operations expertise can extract value hidden in data

Our deep, enterprise-wide understanding of where automation is most needed can help drive up staff productivity and patient satisfaction

Our thousands of U.S. licensed nurses and administrative staff can augment providers’ clinical and operational capacity

Providers solutions

Evolving solutions for evolving needs

Improve Operating Margins

Improve Operating Margins

<p>HCC coding analysis and risk suspecting, NLP driven chart review and coding services, Best in KLAS Risk Adjustment, Provider performance dashboards</p>

Improve the Patient Experience

Improve the Patient Experience

<p>Contact center operations, AI driven patient engagement, Clinical nurse triage, Customer journey mapping, Conversational AI</p>

Drive Health Outcomes

Drive Health Outcomes

<p>Predictive risk stratification, Gap identification and quality improvement, SDOH and barrier identification, Predictive risk models</p>

Increase Operational Efficiency

Increase Operational Efficiency

<p>End-to-end Utilization Management, Automated case management platform, Intelligent analytics workflow integration, Clinical and non-clinical capacity services</p>

Accelerate revenue capture

Accelerate revenue capture

<p>RCM workflow design and assessment, Optimal analytics for workflow performance enhancement, Payment Posting, <br>Denials Management & Insurance A/R Follow-Up</p>

Drive growth and profitability

Drive growth and profitability

<p>General ledger accounting, Accounts payable, External & Govt. reporting, Financial planning & analysis</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>

If you are a Provider who has received a request for documentation or has a question regarding correspondence received from EXL, please visit this link.

Awards and recognition

Spotlight on achievements in excellence

Leader in Everest Group

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

Leader in Gartner Magic Quadrant for Finance and Accounting Business Process Outsourcing 2024

Leader in Gartner Magic Quadrant for Finance and Accounting Business Process Outsourcing 2024

IDC

Major Performer In IDC MarketScape for Worldwide Intelligent Automation Services 2022

Leader in Everest Group

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

Insights

Explore the latest perspectives

card-img

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

View White paper

Foundational risk adjustment transformation drives signi...

View White paper

Risk adjustment & quality

View Solution sheet

View all insights