Competitive Intelligence

Sagility: Services Capabilities for HCP, 2026

This Sagility Competitive Intelligence Profile is for healthcare provider executives and sourcing leaders evaluating partners for payer policy-informed clinical denial recovery and AI-orchestrated provider operations across the quadruple aim of care.

Positioning chart titled HFS Horizons: HCP Service Providers, 2026, organized as three stacked horizontal bands. The left vertical axis, Innovation Scope, rises from Functional at the bottom, to Enterprise in the middle, to Network at the top. The right vertical axis, Value Aspiration, rises from Cost plus Experience at the bottom, to Experience plus Health in the middle, to Health plus Equity at the top. The bottom band is Horizon 1, Disruptors, aligned to the Functional and Cost plus Experience level. The middle band is Horizon 2, Enterprise Innovators, aligned to the Enterprise and Experience plus Health level. The top band is Horizon 3, Market Leaders, aligned to the Network and Health plus Equity level. Sagility is placed in the top band as a Horizon 3 Market Leader. The Horizon 3 Market Leaders cohort also includes Accenture, Cognizant, Deloitte, Epic, Evernorth, EY, HCLTech, Hitachi Digital Services, KPMG, Kyndryl, Optum, and Tata Consultancy Services. The Horizon 2 Enterprise Innovators include Atos, Capgemini, Carelon, CitiusTech, Ensemble Health Partners, EXL, Firstsource, Genpact, Guidehouse, IBM, Innova Solutions, Inovalon, MEDITECH, NTT DATA, Omega Healthcare, Oracle Cerner, Publicis Sapient, PwC, R1, SoftServe, Sutherland, UST, Virtusa, and Wipro. The Horizon 1 Disruptors include AKKODiS, Coforge, DXC Technology, Emids, EPAM, Hexaware, HTC Global Services, LTM, Persistent, Smarter Technologies, Sonata, and Tech Mahindra. All providers within a Horizon are listed alphabetically and are not ranked against each other. The study assessed 50 healthcare providers in total. Source: HFS Research, 2026.

Note: All service providers within a Horizon are listed alphabetically
Source: HFS Research, 2026

Key facts about Sagility’s HCP services capabilities

Panel layout titled Key facts about Sagility's HCP services capabilities, divided into five boxes plus a gauge. Relevant M&A and partnerships box lists one recent acquisition: BirchAI (2024), which provides cloud-based GenAI call technology. Listed partnerships are Salesforce, AWS, Azure, Epic, Meditech, Athenahealth, Availity, and Elligint Health. Key clients box: number of clients 17, with named key clients none disclosed. Global operations and resources box: headcount of 4,000 plus, with 35 delivery centers across the US, India, the Philippines, Colombia, and Jamaica. Flagship internal IP box lists the Sagility Synchrony provider modules, an AI-orchestrated lifecycle suite for RCM, appeals and grievances, and claims workflows; the SmarTec AI family, including Nurse Assist, Recruiter (Noah), Agents, and Workmates; HealthBridge Connect, a payer-provider synergy platform; the Agentic AI-Embedded Provider Platform, an Epic-integrated GenAI RCM suite with intelligent claim prioritization, an ML Suite, and rebilling automation; and UM360 PCO, a 360-degree utilization management model. A sustainability meter is shown as a semicircular gauge marked Low, Medium, and High, with the needle pointing into the middle range toward Medium. Source: HFS Research, 2026.

Source: HFS Research, 2026

Sagility’s performance in the study and HFS’ views of its strengths and development opportunities for HCP services capabilities

Slide titled Sagility's performance in the study and HFS' views of its strengths and development opportunities for HCP services capabilities. On the left, a three-step Horizon ladder graphic highlights Horizon 3 Market Leader at the top, where Sagility sits, above Horizon 2 Enterprise Innovator and Horizon 1 Disruptor. On the right, two lists. The Strengths list covers seven areas: value proposition, 100 percent US-healthcare services for providers, pairing 25 years of payer-policy intelligence with Synchrony AI orchestration, SmarTec AI agents, BirchAI virtual agents, and a large clinician base; capabilities across most of the value chain, including patient consultation, referral, acute care, post-acute, patient services, and RCM and billing through Sagility Synchrony, SmarTec AI agents, and HealthBridge Connect; go-to-market that targets US health systems, ASCs, and IPPs via a healthcare-only specialist BPO model with BPaaS, managed services, and outcome-based pricing; outcomes including cost reduction through AI-enabled RCM, reduced clinician workload through Nurse Assist, and fewer payer calls and improved NPS via HealthBridge, with the Smart Tech Clinical Denial Management System and Nurse Assist accelerating clinical determinations for faster care, Smart Step shifting frailty care to whole-person care to drive readmission avoidance, and SDOH and medication-adherence outreach increasing contact rates among underserved Medicare beneficiaries; innovation through a proprietary in-house R&D platform that built Synchrony, SmarTec, and HealthBridge Connect internally, supplemented by targeted acquisitions; customer perception, trusted as an experienced healthcare specialist with payer-policy intelligence applied to provider denial recovery and deep clinical and coding domain expertise backed by 4,100 plus clinicians; and partner perception, recognized for 100 percent healthcare-focus discipline, platform-led services, end-to-end value chain coverage, and reliable multi-shore execution across five geographies. The Development opportunities list covers seven areas: value proposition, where Sagility should reposition from back-office RCM to an end-to-end clinical and revenue partner enabling value-based care providers; capabilities, where reframing the narrative beyond RCM and aligning to the provider value chain would build resonance with clinical and non-IT buyers; go-to-market, where deliberate partner-enabled and direct CFO and CIO value creation is key to high-margin, sticky clientele; outcomes, where leaning into quantifiable results across the quadruple aim supported by public-domain attributable case stories would help; innovation, where embracing an enterprise innovation framework with key domain specialists would optimize investment and accelerate value creation; customer, where building perception as a strategic transformation partner and value-based-care orchestrator beyond tactical delivery is the opportunity; and partner, where earning perception as a co-innovation peer and joint go-to-market partner, rather than a downstream services execution vendor, is identified. Source: HFS Research, 2026.

Source: HFS Research, 2026

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