Competitive Intelligence

EXL: Services Capabilities for HCP, 2026

This EXL Competitive Intelligence Profile, part of HFS Horizons: HCP Service Providers, 2026, is for healthcare provider executives, RCM and operations leaders, and sourcing teams evaluating EXL’s AI-led data, RCM, and clinical operations capabilities for provider cost management across health systems, ambulatory surgical centers, and independent physician practices.

HFS Horizons placement grid plotting service providers across three horizons against two axes. The vertical axis on the left, labeled innovation scope, runs from Functional at the bottom, through Enterprise in the middle, to Network at the top. The vertical axis on the right, labeled value aspiration, runs from Cost plus Experience at the bottom, through Experience plus Health in the middle, to Health plus Equity at the top. The three horizon bands are stacked from top to bottom. Horizon 3 Market Leaders sits at the top and represents providers delivering on the full quadruple aim of cost, experience, health outcomes, and equity. Horizon 2 Enterprise Innovators sits in the middle and represents enterprise transformation that delivers cost, experience, and health outcomes. Horizon 1 Disruptors sits at the bottom and represents providers addressing cost and experience. All providers within a horizon are listed alphabetically. Horizon 3 Market Leaders includes Accenture, Cognizant, Deloitte, Epic, Evernorth Health Services, EY, HCLTech, Hitachi Digital Services, KPMG, Kyndryl, Optum, Sagility, and Tata Consultancy Services. Horizon 2 Enterprise Innovators includes 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. Horizon 1 Disruptors includes AKKODiS, Coforge, DXC Technology, Emids, EPAM, Hexaware, HTC Global Services, LTM, Persistent, Smarter Technologies, Sonata, and Tech Mahindra. EXL is placed in Horizon 2 Enterprise Innovator. The accompanying callout summarizes EXL as industrializing provider cost management through AI-led data, RCM, and clinical operations. The study assessed and rated the service capabilities of 50 healthcare providers at the intersection of the why, what, how, and so what, and the quadruple aim of care. Source: HFS Research, 2026.

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

Key facts about EXL’s HCP services capabilities

Information panel divided into five blocks summarizing EXL's HCP services profile. The first block, relevant M&A and partnerships, lists recent M&A from 2022 to 2025: ITI Data in 2024, a data management solution firm. Its partnerships are REVELOHEALTH, AWS, Google Cloud, Microsoft Azure, Databricks, Snowflake, Lifemed, and Genesys. The second block, key clients, states a client count of 31, with key clients not disclosed. The third block, global operations and resources, states a headcount of approximately 900 and describes delivery centers across India (Chennai, Bangalore, Kochi, Noida, Pune, Gurgaon), the Philippines (Iloilo, Pasay, Manila), Colombia, and the US (California, Colorado, Connecticut, Georgia, Massachusetts, Florida, North Carolina, New Jersey). The fourth block, flagship internal IP, lists ten entries: EXLDATA.AI, an enterprise data intelligence fabric; EXL Paymentor, AI-led patient collections; EXL EXELIA.AI, a conversational AI platform; EXL XTRAKTO.AI, intelligent document processing; Transform.CX, digital CX transformation; Smart Agent Assist, real-time agent augmentation; Digital Finance Suite, AI-led finance orchestration; Patient Access Insights Hub, a patient access analytics hub; Supply Chain Surveillance, supply chain risk intelligence; and Finance and HR Control Towers, a financial performance command center. The fifth block, sustainability meter, is a gauge dial reading from Low through Medium to High, with the needle pointing to Medium. Source: HFS Research, 2026.

Source: HFS Research, 2026

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

Two-part assessment slide accompanied by a horizon ribbon on the left that marks EXL's placement in Horizon 2 Enterprise Innovator, between Horizon 3 Market Leader above and Horizon 1 Disruptor below. The first part lists strengths across seven dimensions. Value proposition: helping provider enterprises improve financial sustainability, patient access, and operational resilience by enabling AI with domain expertise and data capabilities. Capabilities: addresses most of the value chain, with a bias toward patient services, RCM, financial management, clinical operations, and care management. Go-to-market: partner ecosystem origination and capabilities-led, enabled by an extensive clinician workforce and supported by consulting. Outcomes: improved health outcomes reflected through reduced readmission rates, enhanced experiences through reduced manual interventions, and increased revenues with reduced cost of RCM operations. Innovation: increasing levels of formalization reflected in the launch of EXLdata.AI and co-innovation with clients and partners. Customer: an excellent partner that is collaborative and supportive of the enterprise vision, recognized for being adaptable to changing demands by bringing critical experience to the game. Partner: appreciated for its network, domain-specific talent, and willingness to collaborate. The second part lists development opportunities across five dimensions. Capabilities: strengthening value creation as a function of the provider value chain will resonate more strongly, especially in a climate of extreme financial pressure. Outcomes: not addressing equity as a function of market access in a revenue-shrinking landscape is no longer an option, and the company must strengthen client attribution to work delivered in the public domain. Innovation: an enterprise innovation framework is essential for staying ahead of the market, optimizing investments, and increasing the propensity of success. Customer: expertise in Epic and other EHRs is a core expectation, as is the need to accelerate the automation journey. Partner: expand and diversify the partner ecosystem to include domain specialists and differentiated startups beyond standard technology players, and improve the market positioning narrative. Source: HFS Research, 2026.

Source: HFS Research, 2026

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