Sagility

Sagility

Sagility helps payers and providers strip administrative cost out of the healthcare lifecycle. The firm was purpose-built for healthcare operations, not adapted to it, and today supports functions spanning claims adjudication, payment integrity, provider network operations, and payer clinical services. Its client base reflects that focus: seven of the ten largest U.S. health plans rely on Sagility for managed services that blend offshore clinical teams with cloud-based automation. The firm operates across the full claims lifecycle — intake, configuration, appeals, and billing — while also running utilization management, care management, and a proprietary frailty resilience program branded Sagility Smart Step™. Provider-facing work includes credentialing, directory management, and revenue cycle optimization that, per one published case study, reduced a regional hospital network’s claims denials by 40% and cut days in A/R from 45 to 28. Delivery spans five major geographies: the United States, India, the Philippines, Jamaica, and Colombia. Sagility fields over 48,500 professionals globally and cites a 95% client retention rate alongside an average client tenure measured in decades. The firm’s technology stack — marketed as Sagility Synchrony — integrates AI, agentic platforms, intelligent automation, and digital portals into a single orchestration layer designed for healthcare’s regulatory and workflow complexity. No verifiable recent operational event was identified from the last 24 months. The structural differentiator is scale concentration: Sagility is a publicly cited pure-play healthcare services provider — the largest in the U.S. market by its own description — that combines India- and Philippines-based clinical delivery with onshore consulting and analytics. This architecture lets U.S. health plans tap a dedicated global workforce without diluting domain expertise across non-healthcare verticals, a posture that distinguishes Sagility from generalist BPO competitors.