Latest news with #SimplifyHealthcare
Business Wire
25-06-2025
- Business
- Business Wire
Simplify Healthcare and Atento Partner to Transform Member Experience Through Business Transformation Outsourcing (BTO)
AURORA, Ill.--(BUSINESS WIRE)-- Simplify Healthcare, a recognized leader in enterprise software solutions for Payers, today announced a strategic partnership with Atento, a global leader in customer experience (CX) and Business Transformation Outsourcing (BTO). This collaboration introduces a co-developed, pilot-first CX program — powered by Simplify Healthcare's Xperience1™ platform — designed to help U.S. healthcare payers enhance member and provider experience, increase efficiency, and drive operational transformation without requiring upfront capital investment. This joint offering blends Simplify Healthcare's Xperience1™ platform with Atento's 'Technology with a Human Touch' philosophy and proven CX delivery capabilities. Together, the solution enables payers to improve member satisfaction (CSAT/NPS), reduce average call handle time, shorten training cycles, and deliver consistent, humanized experiences —quickly and at scale. 'This is a unique opportunity for payers to accelerate transformation without disruption,' said Ashish Desi, EVP and GM, Xperience1™ at Simplify Healthcare. 'Together, we're helping the industry leverage proven AI capabilities to pivot from complexity to clarity—with measurable impact on operations and the member experience.' Built on a no-CAPEX model, the solution enables health plans to test and scale CX transformation through a low-risk pilot approach. Key benefits include: Up to 50% reduction in average call handle time 100% elimination of post-call documentation Up to 50% reduction in agent training time Improved first-call resolution and member satisfaction No capital expenditure to get started This partnership with Simplify Healthcare is a powerful step forward in our commitment to Business Transformation Outsourcing," said Jim Carney, VP of Healthcare Sales, Atento. "We're giving payers a smarter path to CX modernization—built to deliver real outcomes without CAPEX, long timelines, or complexity. That's BTO in action.' Payers interested in launching a pilot with Atento and Simplify Healthcare can learn more at About Simplify Healthcare Simplify Healthcare enables Payers to achieve growth and cost efficiencies with its industry-leading platform, people, and processes. Established in 2008, Simplify Healthcare has taken on some of the toughest challenges facing payers by simplifying payer operations, connecting their front, middle, and back office with a payer-focused platform-centric approach. For more information, please visit Follow us on LinkedIn, YouTube, X, and Instagram. About Atento Atento is the largest provider of customer relationship management and business process outsourcing ('CRM BTO') services in Latin America. Atento is also one of the leading providers of nearshoring CRM BTO services for companies operating in the United States. Since 1999, the company has developed its business model in 17 countries, employing approximately 110,000 people. Serving more than 400 customers, Atento offers a wide range of CRM BTO services across multiple channels. The majority of Atento's clients are leading multinational companies in the telecommunications, banking and financial services, healthcare, retail, and government sectors. In recent years, the company has been recognized for its excellence by several industry analysts globally, including Everest, Gartner, Frost & Sullivan, and ISG. Forbes recognized Atento as one of the 100 best companies to work for in Spain in 2023, while Great Place to Work® has continuously ranked us as one of the 25 best companies to work for globally. We have also been recognized as the 1st company in the sector globally to achieve the ISO 56002 Innovation Management Certification, which we have maintained for four consecutive years. For more information, visit
Yahoo
25-06-2025
- Business
- Yahoo
Simplify Healthcare and Atento Partner to Transform Member Experience Through Business Transformation Outsourcing (BTO)
AURORA, Ill., June 25, 2025--(BUSINESS WIRE)--Simplify Healthcare, a recognized leader in enterprise software solutions for Payers, today announced a strategic partnership with Atento, a global leader in customer experience (CX) and Business Transformation Outsourcing (BTO). This collaboration introduces a co-developed, pilot-first CX program — powered by Simplify Healthcare's Xperience1™ platform — designed to help U.S. healthcare payers enhance member and provider experience, increase efficiency, and drive operational transformation without requiring upfront capital investment. This joint offering blends Simplify Healthcare's Xperience1™ platform with Atento's "Technology with a Human Touch" philosophy and proven CX delivery capabilities. Together, the solution enables payers to improve member satisfaction (CSAT/NPS), reduce average call handle time, shorten training cycles, and deliver consistent, humanized experiences —quickly and at scale. "This is a unique opportunity for payers to accelerate transformation without disruption," said Ashish Desi, EVP and GM, Xperience1™ at Simplify Healthcare. "Together, we're helping the industry leverage proven AI capabilities to pivot from complexity to clarity—with measurable impact on operations and the member experience." Built on a no-CAPEX model, the solution enables health plans to test and scale CX transformation through a low-risk pilot approach. Key benefits include: Up to 50% reduction in average call handle time 100% elimination of post-call documentation Up to 50% reduction in agent training time Improved first-call resolution and member satisfaction No capital expenditure to get started This partnership with Simplify Healthcare is a powerful step forward in our commitment to Business Transformation Outsourcing," said Jim Carney, VP of Healthcare Sales, Atento. "We're giving payers a smarter path to CX modernization—built to deliver real outcomes without CAPEX, long timelines, or complexity. That's BTO in action." Payers interested in launching a pilot with Atento and Simplify Healthcare can learn more at About Simplify Healthcare Simplify Healthcare enables Payers to achieve growth and cost efficiencies with its industry-leading platform, people, and processes. Established in 2008, Simplify Healthcare has taken on some of the toughest challenges facing payers by simplifying payer operations, connecting their front, middle, and back office with a payer-focused platform-centric approach. For more information, please visit Follow us on LinkedIn, YouTube, X, and Instagram. About Atento Atento is the largest provider of customer relationship management and business process outsourcing ("CRM BTO") services in Latin America. Atento is also one of the leading providers of nearshoring CRM BTO services for companies operating in the United States. Since 1999, the company has developed its business model in 17 countries, employing approximately 110,000 people. Serving more than 400 customers, Atento offers a wide range of CRM BTO services across multiple channels. The majority of Atento's clients are leading multinational companies in the telecommunications, banking and financial services, healthcare, retail, and government sectors. In recent years, the company has been recognized for its excellence by several industry analysts globally, including Everest, Gartner, Frost & Sullivan, and ISG. Forbes recognized Atento as one of the 100 best companies to work for in Spain in 2023, while Great Place to Work® has continuously ranked us as one of the 25 best companies to work for globally. We have also been recognized as the 1st company in the sector globally to achieve the ISO 56002 Innovation Management Certification, which we have maintained for four consecutive years. For more information, visit View source version on Contacts Simplify HealthcarePhone: (844) 720-6678Email: info@
Business Wire
19-06-2025
- Business
- Business Wire
Simplify Healthcare Launches Xperience1™: A Next-Generation Platform for Benefits Inquiry Management, Powered by Domain-Rich AI
AURORA, Ill.--(BUSINESS WIRE)-- Simplify Healthcare, a recognized leader in enterprise software solutions for Payers, today announced Xperience1™, a groundbreaking solution designed to transform the benefits inquiry experience for health plan members, providers, brokers, and other stakeholders. This next-generation CX platform delivers clear, real-time, plain-language responses to complex benefit questions—across all channels and user roles. Built on the trusted Simplify Health Cloud™, Xperience1™ unifies the strengths of the company's flagship platforms, Service1™ and Experience1™, into one intelligent, AI-powered customer experience platform. It enables payers to streamline and elevate benefits communication across the entire member journey—from plan shopping and enrollment to customer service and self-service. 'Xperience1™ is the natural next step in our mission to transform how healthcare consumers understand, navigate, and experience their benefits,' said Ashish Desai, EVP and GM, Xperience1™, Simplify Healthcare. 'It delivers measurable business impact by significantly reducing call duration, improving first call resolution (FCR), and ensuring clear, consistent, member-friendly communication.' Unlike generic GenAI-based solutions that are prone to hallucinations, Xperience1™ is built on a robust architecture featuring a sophisticated domain-rich data foundation, intelligent content management, an interactive AI framework, and a built-in health literacy model. These capabilities enable it to provide accurate, context-aware, and curated responses—minimizing the risk of misinformation. ' With Xperience1™, we're going further—not starting over,' added Mohammed Vaid, CEO and Chief Solution Architect, Simplify Healthcare. ' We've reimagined two trusted solutions into one unified platform, delivering on our promise to bring clarity to complexity.' The launch of Xperience1™ underscores Simplify Healthcare's commitment to innovation and its mission to simplify the healthcare experience. To learn more about Xperience1™, visit About Simplify Healthcare Simplify Healthcare helps payers achieve growth and operational efficiency through its industry-leading platform, proven processes, and deep expertise. Founded in 2008, the company tackles some of the most complex challenges in healthcare by connecting the front, middle, and back office through a platform-centric, payer-focused approach.
Yahoo
06-06-2025
- Business
- Yahoo
Simplify Healthcare's Benefits1™.Medicare Drives Over 30% of Nationwide PBP Submissions to CMS, Marking Over 7 Years as a Trusted Industry Leader
AURORA, Ill., June 06, 2025--(BUSINESS WIRE)--Simplify Healthcare, a recognized leader in enterprise software solutions for Payers, proudly announces that its flagship platform, Benefits1™.Medicare, played a key role once again in streamlining over 30% of Medicare Advantage (MA) Plan Benefit Package (PBP) submissions to the Centers for Medicare & Medicaid Services (CMS) this year. This milestone highlights the platform's transformative impact on benefit plan management and its integral role in supporting Payers across the nation. Benefits1™.Medicare continues to be the industry leader, enabling large-scale CMS bid submissions successfully for over 7 years, while also importing data seamlessly from the CMS-PBP software. Designed to handle the complexities of bid submission and accessible immediately (benefit updates can be started at any time independent of HPMS releases), the platform continues to set the standard for speed, accuracy, and compliance in PBP submissions with its seamless integration, robust reporting, global data updates, secure user roles, workflow automation and audit tracking capabilities. "Our customers relied on Benefits1™.Medicare to streamline over 30% of nationwide PBP submissions—proof of the trust we've earned and the efficiency our platform delivers year after year." — Ramesh Padri, VP of Product Delivery at Simplify Healthcare. "Managing the full Medicare Advantage lifecycle—from bids to digital delivery—makes Benefits1™.Medicare truly stand out in helping Payers drive value and improve member experiences." — Tasneem Chital, VP of Government Markets at Simplify Healthcare. Industry Leadership Through Customer Focus As healthcare organizations face increasing operational and regulatory challenges, Benefits1™.Medicare offers an effective solution that simplifies workflows while driving greater organizational efficiency. "This milestone reflects our long-standing commitment of partnering with health plans to successfully manage bid submissions. We bring the full stack partnership experience — people, thought leaders, product, and technology— towards delivering a superior bid submission experience for our customers." — Nirnay Patel, EVP & GM of Benefits1™ at Simplify Healthcare. About Simplify Healthcare Simplify Healthcare powers connected benefits and provider journeys for Payers through a scalable, enterprise-grade, secure, compliant, and configurable cloud-based software platform — Simplify Health Cloud™. We offer highly scalable, technology-centered document and translation management services to Payers through Simplify Docs™. We also empower industries with AI-native SaaS solutions designed to build and deploy digital solutions faster, better, and with embedded AI through SimplifyX™. View source version on Contacts Simplify HealthcarePhone: (844) 720-6678Email: info@
Business Wire
06-06-2025
- Business
- Business Wire
Simplify Healthcare's Benefits1™.Medicare Drives Over 30% of Nationwide PBP Submissions to CMS, Marking Over 7 Years as a Trusted Industry Leader
AURORA, Ill.--(BUSINESS WIRE)-- Simplify Healthcare, a recognized leader in enterprise software solutions for Payers, proudly announces that its flagship platform, Benefits1™.Medicare, played a key role once again in streamlining over 30% of Medicare Advantage (MA) Plan Benefit Package (PBP) submissions to the Centers for Medicare & Medicaid Services (CMS) this year. This milestone highlights the platform's transformative impact on benefit plan management and its integral role in supporting Payers across the nation. Benefits1™.Medicare continues to be the industry leader, enabling large-scale CMS bid submissions successfully for over 7 years, while also importing data seamlessly from the CMS-PBP software. Designed to handle the complexities of bid submission and accessible immediately (benefit updates can be started at any time independent of HPMS releases), the platform continues to set the standard for speed, accuracy, and compliance in PBP submissions with its seamless integration, robust reporting, global data updates, secure user roles, workflow automation and audit tracking capabilities. 'Our customers relied on Benefits1™.Medicare to streamline over 30% of nationwide PBP submissions—proof of the trust we've earned and the efficiency our platform delivers year after year.' — Ramesh Padri, VP of Product Delivery at Simplify Healthcare. 'Managing the full Medicare Advantage lifecycle—from bids to digital delivery—makes Benefits1™.Medicare truly stand out in helping Payers drive value and improve member experiences.' — Tasneem Chital, VP of Government Markets at Simplify Healthcare. Industry Leadership Through Customer Focus As healthcare organizations face increasing operational and regulatory challenges, Benefits1™.Medicare offers an effective solution that simplifies workflows while driving greater organizational efficiency. 'This milestone reflects our long-standing commitment of partnering with health plans to successfully manage bid submissions. We bring the full stack partnership experience — people, thought leaders, product, and technology — towards delivering a superior bid submission experience for our customers.' — Nirnay Patel, EVP & GM of Benefits1™ at Simplify Healthcare. About Simplify Healthcare Simplify Healthcare powers connected benefits and provider journeys for Payers through a scalable, enterprise-grade, secure, compliant, and configurable cloud-based software platform — Simplify Health Cloud™. We offer highly scalable, technology-centered document and translation management services to Payers through Simplify Docs™. We also empower industries with AI-native SaaS solutions designed to build and deploy digital solutions faster, better, and with embedded AI through SimplifyX™.
