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HGS - CMS in Healthcare (Payer and Provider Support)

Vendor Analysis

by NelsonHall Analyst

published on May 29, 2015

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Report Overview:

HGS is headquartered in Bangalore, India. Currently, it operates 60 delivery centers in 12 countries, with ~28.6k employees.

Who is this Report for:

NelsonHall's CMS in healthcare industry sector profile on HGS is a comprehensive assessment of HGS' healthcare (payer and provider) sector customer management services (CMS) offerings and capabilities, designed for:

  • Sourcing managers monitoring the capabilities of existing suppliers of CMS to serve the healthcare sector and identifying vendor suitability for CMS RFPs
  • Vendor marketing, sales and business managers looking to benchmark themselves against their peers
  • Financial analysts and investors specializing in the support services sector.

Scope of this Report:

The report provides a comprehensive and objective analysis of HGS' healthcare sector CMS offerings, capabilities, and market and financial strength, 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 CMS healthcare sector customer base, including the company's targeting strategy and examples of current contracts
  • Analysis of the company's healthcare sector CMS offerings and key service components
  • Analysis of the company's delivery organization including the geography of delivery locations used for CMS healthcare sector clients.




Key Findings & Highlights:

The majority of HGS' CMS healthcare payer and provider clients are based in the U.S. The company provides CMS in support in a range of offerings including:

  • Member enrollment and onboarding for payers
  • Claims life cycle for payers
  • Fraud waste and abuse for payers
  • Clinical reviews retention for payers
  • Nurse helpline for payers
  • Wellness and coaching
  • Provider enrollment
  • Provider claims and eligibility calls
  • Medicare secondary payer information
  • Provider portal/technical helpdesk
  • Revenue cycle management for payers and providers.

HGS has delivery centers in support of its CMS healthcare clients in India, the Philippines, U.S., and Jamaica.

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