A Leader in 2023 Everest Group PEAK Matrix® for Payer Operations
EXL Achieves Leader Designation in the Everest Group Healthcare Payer Operations PEAK Matrix® Assessment 2023.
Key EXL strengths cited by Everest Group in the report include:
- A strengthened technology portfolio of inhouse solutions and platforms
- Dedicated healthcare advisory/consulting services in key areas like payment, pharmacy, operations, cloud, and data and analytics
- Development of a new cloud-native platform that can monitor the entire claims lifecycle right from the prior authorization to post-payment audit selection
- High adherence to SLAs and flexibility in staffing resources
“Data management, analytics, and AI are becoming key priority areas for health plans to improve operational efficiency across functions such as payment integrity, member engagement, and value-based care,” said Ankur Verma, Vice President at Everest Group.
“EXL has continued to invest in its digital capabilities through inorganic (e.g., Clairvoyant) and organic routes with the objective of enabling interoperability, increasing AI-enabled channel utilization for member conversations, and helping payers identify Fraud, Waste, and Abuse incidents. Its digital engagement strategy, an innovation-led model, and push toward value-based model has placed it as one of the Leaders on Everest Group’s Healthcare Payer Operations PEAK Matrix® Assessment 2023”.