Sagility

Sagility offers transformative revenue, member and patient outcomes for the healthcare industry. The company helps US-based payers, providers and their partners to operate at best-in-class levels, improve the member and provider experience, and provide high-quality care at a lower cost.

Sagility uses technologies like machine learning and artificial intelligence to continually improve clinical and financial outcomes for health plans. With predictive models, its revenue cycle management solutions can increase collections, reduce accounts receivable, decrease the cost-to-collect and improve the patient experience.

Specifically, Sagility has processed more than 150 million transactions annually for payers and more than 60 million claims, resulting in more than $5 billion in recovered funds for clients. The company offers end-to-end services for hospitals, health systems, physician groups, labs, DME companies and ancillary providers.

Its Business Process as a Service (BPaaS) solutions are designed to integrate with the payer's existing ecosystem. These cloud-based, comprehensive solutions include claim operations, engagement services, provider network operations, clinical solutions and payment integrity services to help increase productivity, improve the predictability of spend and improve healthcare operations.

For providers, Sagility offers a comprehensive suite of healthcare solutions that automate administrative tasks and empower healthcare providers to focus on delivering high-quality care. Its patient access, patient engagement and clinical services are designed to improve patient outcomes and overall healthcare experience.

Sagility's technology foundation includes cloud-native applications, hyperautomation and process optimization, advanced analytics, AI/ML and BI solutions. These technologies enable business insights, process re-engineering, accuracy and efficiency improvements.

Pricing details are not disclosed, but Sagility suggests contacting experts to discuss customized solutions for specific needs. Sagility has more than two decades of experience and has an "Excellent" Net Promoter Score of 52, a high level of trust and satisfaction with the quality of its work. It holds several industry certifications, including URAC Health Utilization Management, NCQA Credentials Verification Organization, TUVRheinland, HIPAA Compliance and GLBA Compliance.

Published on August 5, 2024