Sagility India

Sagility positions AI and Agentic AI as a force multiplier, not a disruptor, for its business, aiming to accelerate growth. The company is embedding AI into end-to-end workflows through 'SmarTec agents' to automate complex processes and improve efficiency. This approach is expected to open up additional opportunities, especially given the cost and margin pressures faced by clients. Sagility emphasizes its 25 years of domain depth and understanding of the healthcare ecosystem as key differentiators in deploying AI effectively.

The US healthcare system is experiencing significant changes, including membership volatility and margin compression, with payers spending over 90% of premiums on claims. Sagility sees these challenges as a tailwind, as clients increasingly seek partners to reduce operational costs and improve profitability. The company's deep domain expertise and transformation capabilities allow it to offer low-transition-cost solutions, with top five clients growing 9.9% and other clients growing 28% in the last 12 months (Dec 2025 over 2024).

Sagility is shifting towards outcome-based managed services, leveraging AI to grow faster and gain market share. These deals focus on committed cost savings and speed to value, with zero upfront CapEx for clients. An example cited is a managed services deal that transformed a $6 million revenue opportunity into a $20 million deal, with a potential to reach $100 million, representing a 3.5x revenue growth. Sagility's incumbency and strong delivery track record build trust, enabling it to secure these end-to-end managed service contracts.

Sagility's 'Synchrony' solutions integrate technology platforms with operations to provide end-to-end services, particularly targeting the mid-market (clients with less than a million members). These solutions, like 'Medicare Synchrony,' cover entire lifecycles from enrolment to billing, offering faster value and increased stickiness for clients. The company is bullish on penetrating the mid-market, which often lacks the underlying technology and resources to implement such integrated solutions internally, seeing it as a significant growth driver.

Sagility is applying AI to clinical practice to address rising medical costs and improve quality of care, focusing on MLR (Medical Loss Ratio) reduction. Solutions like 'Nurse Assist' (an award-winning generative AI tool) streamline prior authorizations and care management. By integrating AI with human expertise, Sagility aims to reduce waste, improve patient outcomes, and lower readmission rates, with programs showing 3x to 5x ROI and 5-15% impact on medical spend. An example showed a $24 million savings in UM operations and a $15 million reduction in late claim payment interest for clients.

Sagility's technology strategy involves building modular 'building blocks' over 10+ years, including predictive AI models, RPA, and generative AI capabilities. The company partners with platform vendors (e.g., AWS, Azure) and system integrators to deliver end-to-end solutions, rather than building enterprise applications itself. This ecosystem approach allows for rapid assembly of solutions, ensuring deployability and maintainability while adhering to client technology guardrails and regulatory compliance (SOC2, HiTrust).