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EGS - CMS in Healthcare (Payer and Provider Support)

EGS - CMS in Healthcare (Payer and Provider Support)

Who Is This Vendor Assessment For?

NelsonHall’s CMS in healthcare industry sector profile on EGS is a comprehensive assessment of EGS’ 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.

Key Findings & Highlights

EGS is a global customer service organization, delivering outsourced solutions for customer and financial care. It employs ~40 in ~70 locations in 10 countries. EGS’ customer management services (CMS) include answering product related enquiries, technical support, up-sell/cross-sell, and social media support. Its financial care includes accounts receivable management, revenue cycle management, and order to cash support. It is a privately held company headquartered in Plano, Texas.

Key merger activity occurred in 2012 when APAC and NCO merged. Expert Global Solutions (EGS) became the holding company for APAC and NCO. APAC had its roots in the CMS BPO market, while NCO had its roots in the accounts receivables management (ARM)/collections BPO market. The company now goes to market as EGS.

The majority of EGS’ healthcare BPO clients are based in North America. The company provides a range of offerings to healthcare payers, covering support for:

Enrollment

Benefits and eligibility

Claim status

Claim adjustments/back office

Pharmacy benefits managers (PBM).

Examples of provider core services used by EGS’ clients include:

Eligibility patient advocacy liaison services (EPALS)

Extended office services (EOS), includes insurance and self-pay support

Out of state Medicaid billing services

Revenue cycle management.

EGS has delivery centers in support of its healthcare clients in North America, the Philippines, and Latin America.

Scope of the Report

The report provides a comprehensive and objective analysis of EGS’ 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.


1. Background
2. Revenue Summary
3. Key Offerings
4. Delivery Capability and Partnerships
5. Target Markets
6. Strategy
7. Strengths & Challenges
8. Outlook

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