- The evaluation recognizes Sagility for its high practice maturity and future-proofing capabilities across core health plan operations.
- Avasant highlighted Sagility’s strategic acquisition of BroadPath, expanding its U.S. delivery footprint and service reach into mid-market payer segment.
- The recognition emphasizes Sagility’s proprietary technology stack and clinical expertise serving over 234 million health plan members.
ATLANTA – August 04, 2026 – Sagility, a leading tech-enabled healthcare operations and transformation company, today announced its recognition as a Leader in Avasant’s Healthcare Payer Business Process Transformation 2026 RadarView™ report. The global assessment evaluates service providers supporting healthcare payer organizations as they modernize administrative workflows, transition toward value-aligned commercial models, and integrate technology across core plan functions.
Avasant evaluated 50 service providers across Practice Maturity and Futureproofing dimensions, placing Sagility in the Leaders category. Leaders deliver consistent excellence across all evaluation dimensions of the RadarView assessment and drive significant market impact through reliable execution and vertical depth. Recognized as industry thought leaders, these providers establish best practices and set standards through continuous innovation
The report cites Sagility’s top-tier rating in practice maturity, underpinned by extensive process coverage across claims management, member and provider engagement, care management, and payment integrity.
Driving Operational Maturity Across the Payer Value Chain
The RadarView report recognizes for delivering measurable operational outcomes for health plans navigating rising administrative costs and regulatory mandates. Sagility supports more than 70 active client groups, including six of the top 10 U.S. health plans, serving over 234 million members through a multi-shore network of 20 deliver centers.
“Healthcare payers face persistent pressure from rising medical costs, tightening Medicare Advantage margins, and expanding regulatory obligations across interoperability, prior authorization, and payment integrity. In response, health plans are investing in agentic AI, workflow orchestration, and BPaaS operating models to modernize operations and strengthen compliance,” said Ashutosh Darmal, Principal Analyst at Avasant. “Sagility supports payers through an agentic AI-led model that re-orchestrates core administrative and clinical workflows. On the strength of these scaled capabilities and deep expertise in Medicare Advantage, Sagility has been recognized as a Leader in the Healthcare Payer Business Process Transformation 2026 RadarView.”
Technology Integration and Strategic Footprint Expansion
Avasant highlighted Sagility’s continuous investment in proprietary technology platforms designed specifically for healthcare administrative and clinical operations. Key platforms noted in the assessment include:
- Sagility Synchrony: Unifies and streamlines operational workflows for Medicare Advantage plans to accelerate speed to.
- Provider Forward™: Centralizes and automates provider data management, credentialing, and directory maintenance.
- SmarTec Appeals Assist: Automates the intake, classification, and routing of complex grievances and appeals to lower turnaround times.
The evaluation also emphasized Sagility’s strategic acquisition of BroadPath, which significantly expanded its U.S. onshore delivery presence. The acquisition added over 30 regional and mid-market health plan client groups, broadening Sagility’s reach across government-sponsored and commercial lines of business while adding capabilities in member acquisition and work-from-home delivery orchestration.
“Being named a Leader in Avasant’s Healthcare Payer Business Process Transformation RadarView reflects our team’s sustained focus on operational quality and practical technology integration,” said Ramesh Gopalan, Group CEO and Managing Director of Sagility. “Healthcare payers require partners who understand the complex balance between strict compliance, clinical accuracy, and administrative cost reduction. By pairing our clinical talent with purpose-built automation, we help health plans streamline workflows, improve accuracy, and maintain strong member and provider relationships.”
Avasant’s RadarView assessments evaluate service providers through a rigorous process involving provider briefings, public disclosures, client validations, and market feedback. The evaluation measures total value delivered over the preceding 12 months, focusing on practice scale, domain expertise, ecosystem partnerships, and technological innovation.
About Sagility
Sagility is a leading healthcare operations partner that helps payers, providers, and pharmacy benefit managers reduce cost, improve quality, and enhance member and provider experiences. With more than 25 years of exclusive focus in healthcare, Sagility combines deep domain expertise with technology-led transformation — embedding analytics, automation, and AI directly into operations while ensuring compliance with complex regulatory and clinical requirements. Serving over 80 healthcare clients, including 7 of the top 10 U.S. health plans, Sagility delivers end-to-end operational transformation at scale through a model built on accountability, transparency, and measurable outcomes. To learn more, visit: www.sagility.com
About Avasant
Avasant is a leading management consulting firm that provides digital transformation, sourcing advisory, and governance services to global enterprises. With a focus on innovation and excellence, Avasant helps organizations navigate complex business challenges and achieve sustainable growth.
