Case Study: a leading healthcare industry organization improves whole person health management with EXL

Data unlocks right insights that lead to the right results

EXL worked with a leading healthcare industry organization facing growing pressure to improve member health and outcomes while controlling costs in a shift to value-based care. The challenge was compounded by traditional care management approaches, fragmented data, and the need to address social determinants of health alongside clinical risk, especially for high-risk and underserved populations.

EXL implemented a whole person health management approach using integrated data and advanced analytics, including predictive and prescriptive models that combined clinical, behavioral, and socioeconomic information. This gave care teams a 360-degree view of members, helped identify impactable and intervenable populations, and supported more targeted outreach, better care pathways, and stronger partnerships with community-based organizations. The case study does not provide specific numerical results, but it reports improved member engagement, better prioritization of resources, more effective interventions, and the potential for better health outcomes, quality compliance, and lower medical spend.