Sagility Company Market Research Report

Company Overview

Name: Sagility

Mission of the Company: Sagility is a technology-enabled healthcare-focused solutions and services provider that supports US-based payers, providers, and their partners to deliver best-in-class operations, enhance member and provider experience, and improve quality of care all while delivering cost-effective healthcare financial and clinical outcomes.

Founding and Founders: No information is available.

Key People in the Company:

Ramesh Gopalan, Managing Director and Group CEO

Sarvabhouman Doraiswamy Srinivasan, Group Chief Financial Officer

Satishkumar Sakharayapattana Seetharamaiah, Company Secretary and Compliance Officer

Sohail Djariri, Chief Growth Officer

Headquarters: No specific information is available.

Number of Employees: No information is available.

Revenue of the Company: No information is available.

What the Company is Known For: Sagility is known for its transformative healthcare solutions using technologies like machine learning and artificial intelligence and handling over 150 million transactions annually for payers and recovering over $5 billion for providers through their claims processing and revenue cycle management solutions.

Products

Products Offered

1. Payer Services

Description: Solutions for payers including claims management, provider network operations, engagement services, clinical services, and payment integrity.

Key Features:

Efficient claims management across multiple platforms.

Provider Network Operations optimized for the No Surprises Act compliance.

End-to-end engagement services elevating member and provider experiences.

Solutions to enhance payment integrity through holistic claims assessment.

2. Provider Services

Description: Services enhancing patient access, engagement, and clinical processes to ensure efficient healthcare delivery.

Key Features:

Streamlined processes in patient access with insurance verification and benefit confirmation.

Patient engagement optimization with appointment and billing support.

Revenue Cycle Management with predictive analytics for claim prioritization and recovery.

3. Sagility Technologies

Description: Digital transformation solutions for healthcare processes using advanced analytics, AI/ML, and BI.

Key Features:

Predictive modeling for business insights.

Hyperautomation for process optimization.

Business Process as a Service (BPaaS) delivering cloud-based healthcare operations.

Recent Developments

Recent Developments in the Company:

Transformative AI is being leveraged to optimize healthcare experiences, as outlined in articles and insights by key thought leaders at Sagility.

Acquisitions: Sagility acquired BirchAI, a GenAI company, enhancing their capabilities in SaaS platforms for patient interactions.

New Products Launched: No specific information is available on newly launched products.

New Features Added to Existing Products:

Integration of AI/ML to enhance claims processing and payment integrity.

Advanced analytics for comprehensive fraud detection and operational optimization.

New Partnerships:

Collaboration with BirchAI to enhance healthcare interactions with advanced AI solutions.

Insights and Accolades

Awards and Recognitions:

Recognized as a Leader in Healthcare Payer Operations in 2022 and 2023.

Stevie Award for "Employer of the Year" in the 2024 awards.

High Achiever in the Healthcare Payer NEAT 2021 report by NelsonHall.

Accreditations:

Compliance certifications including HIPAA, NCQA Credentials Verification, and URAC Health Utilization Management.

Sagility continues to excel in delivering healthcare transformation by integrating cutting-edge technology and industry expertise to support payers and providers efficiently. The company's dedication to enhancing healthcare operations is evident in their robust service offerings and recognition by leading industry bodies.