HGS - Healthcare Payer BPS

HGS - Healthcare Payer BPS

Who is This Vendor Assessment For?

NelsonHall’s healthcare payer BPS managing effectiveness profile on HGS is a comprehensive assessment of HGS’s offerings and capabilities, designed for:
• Sourcing managers monitoring the capabilities of existing suppliers of digital services and healthcare payer BPS effectiveness services and identifying vendor suitability for RFPs
• Vendor marketing, sales, and business managers looking to benchmark themselves against their peers
• Financial analysts and investors specializing in the healthcare payer BPS sector.

Key Findings & Highlights

This NelsonHall vendor assessment analyzes HGS’s offerings and capabilities in healthcare payer BPS managing effectiveness services.

HGS supports healthcare payer BPS effectiveness services through advisory services and digital solutions in plan design, member and provider administration, enrollment, billing and claims administration, network management, care management, and outsourced services in claims processing and contact center. HGS offers proprietary platforms in customer service administration Forward Apps and an underwriting and enrollment platform. The Member, Broker, and Provider Forward Applications provide self-service options, workflow automation, analytics, data management, OCR, AI, and NLP. HGS also offers client-specific design services in automation, AI, analytics, and process redesign. HGS’s 2018 acquisition of AxisPoint Health adds care management and utilization management capabilities to HGS’s offering portfolio.

Scope of the Report

The report provides a comprehensive and objective analysis of HGS’s healthcare payer BPS managing effectiveness services offerings and capabilities, and market and financial strengths, including:
• Identification of the company’s strategy, emphasis, and new developments
• Analysis of the company’s strengths, weaknesses, and outlook
• Revenue estimates
• Analysis of the profile of the company’s customer base, including the company’s targeting strategy and examples of current contracts
• Analysis of the company’s offerings and key service components
• Analysis of the company’s delivery organization, including the location of delivery locations.