AURORA, Ill.–(BUSINESS WIRE)–Simplify Healthcare®, a Simplify Group™ company and a leading organization in the healthcare payer technology space, today announced a strategic alliance with Sagility and Convey Health Solutions (Convey) to launch Sagility Synchrony, a purpose-built, end-to-end Medicare Advantage lifecycle solution. Sagility Synchrony replaces fragmented point solutions with a Sagility-led, end-to-end managed services model powered by integrated platforms, spanning plan design, CMS filing, enrollment, and billing.
It unifies Simplify Healthcare®’s Benefits1™ platform and Convey’s Miramar platform into a single operating model orchestrated by Sagility, delivering a first-time-right experience from plan filing through first-bill delivery while reducing operational risk and improving compliance readiness.
Automating Compliance Across the MA Lifecycle
Within Sagility Synchrony, Benefits1™ enables health plans to achieve compliant, complete, and launch-ready plans ahead of the Annual Enrollment Period (AEP) through automation and standardization.
The platform provides AI-powered plan standardization, a centralized and reusable product database, automated CMS PBP filings, auto-generated ANOC, EOC, and SB documents, 508-compliant member communications, and real-time AEP readiness monitoring, ensuring plans meet regulatory requirements with precision and speed.
“Benefits1™ already underpins over 30% of Medicare Advantage PBP submissions to CMS nationally. Through Sagility Synchrony, that proven capability now powers a fully connected MA lifecycle, giving health plans the integrated foundation they need to launch faster, stay compliant, and deliver a seamless experience to every member.” — Ruchir Ranjan, Chief Executive Officer, Simplify Healthcare®
“Health plans have historically managed the journey from plan filing to member enrollment through disconnected systems, creating breakdowns in coordination and increased compliance risks,” said Ramesh Gopalan, Group CEO and Managing Director of Sagility. “By unifying the strengths of Convey and Simplify Healthcare® through Sagility Synchrony, we are pioneering a new industry standard for unification. We’re moving beyond point solutions to deliver integrated business outcomes, ensuring our clients are ready for the Annual Enrollment Period with lower risk and higher member satisfaction.”
“The expansion of the Miramar platform through Sagility Synchrony represents an important step forward in helping Medicare plans operate with greater precision and consistency,” said Michael DiSimone, CEO of Convey Health Solutions. “We’re excited to see our technology play a foundational role in a solution that brings further clarity to complex processes and helps plans deliver a more accurate and compliant member experience.”
A Single Point of Accountability
While Benefits1™ continues to be available independently to health plans across Medicare Advantage, Medicaid, ACA, and Commercial lines of business, its integration into Sagility Synchrony creates a unified, lifecycle-driven operating model exclusive to this alliance.
Convey Health Solutions’ Miramar platform completes the lifecycle by unifying enrollment applications, CMS data exchanges, and premium billing automation, ensuring speed and accuracy from member enrollment through first-bill delivery.
With Sagility orchestrating the end-to-end lifecycle delivery, accountability, and managed services execution, the three partners provide health plans with a single point of accountability to reduce fragmentation, improve operational efficiency, and mitigate compliance risk.
Core Pillars of Sagility Synchrony
Sagility Synchrony is built on three integrated pillars across the Medicare Advantage lifecycle:
- Plan Design and Compliance: Automated CMS PBP filings, document generation (ANOC, EOC, SB), 508-compliant communications, and real-time AEP readiness monitoring
- Integrated Enrollment: Unified enrollment workflows and CMS data exchanges to drive speed and accuracy
- Financial Integrity: Automated premium billing and reconciliation to reduce revenue leakage and deliver 25% to 40% reduction in operational costs
Delivering Outcomes at Every Stage
For health plans, Sagility Synchrony delivers measurable, end-to-end outcomes across the lifecycle:
- 99% member enrollment accuracy
- 98% on-time ID card fulfillment
- 35% reduction in grievance response times
- 25% to 40% decrease in operational costs
These capabilities help plans defend Star Ratings, reduce compliance risk, and protect margins in an increasingly complex regulatory environment, while delivering a more consistent and reliable member experience.
To learn more about how Sagility Synchrony can help transform operations and minimize friction in the member experience, visit https://sagility.com/services/sagility-synchrony-a-medicare-advantage-lifecycle-solution/.
About Simplify Healthcare®
Simplify Healthcare®, a Simplify Group™ company, is a leading healthcare technology company providing cloud-based AI-powered SaaS solutions for health insurance payers. Simplify Healthcare® serves 70+ payers across Medicare Advantage, Medicaid, ACA, and Commercial markets with an integrated platform that streamlines operations, improves cost takeout and member experience, and drives better health outcomes. Simplify Healthcare® is committed to transforming healthcare delivery through innovative technology solutions.
For more information, please visit simplifyhealthcare.com.
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About Sagility
Sagility is a technology-led, U.S. healthcare-focused business operations solutions and services company that supports payers, providers, and their partners in delivering best-in-class operations, enhancing member and provider experiences, and improving the quality of care, all while ensuring cost-effective financial and clinical outcomes. With over two decades of experience, Sagility’s dedicated experts address complex healthcare challenges through deep domain expertise and technology innovations. The company serves six of the top ten payers in the U.S., utilizing its advanced technology, processes, and solutions to ensure efficient operations and minimize additional administrative costs. The company delivers these services through its skilled talent pool of nearly 50,000 professionals across five global service delivery centers located in the U.S., India, the Philippines, Jamaica, and Colombia. Visit sagilityhealth.com.
About Convey Health Solutions
Convey Health Solutions is a specialized healthcare technology and services company that is committed to providing clients with healthcare-specific, compliant member support solutions utilizing technology, engagement, and analytics. The company’s administrative solutions for government-sponsored health plans help to optimize member interactions, ensure compliance, and support end-to-end Medicare processes. By combining its best-in-class, built-for-purpose technology platforms with dedicated and flexible business process solutions, Convey Health Solutions creates better business results and better healthcare consumer experiences on behalf of business customers and partners. The company’s clients include some of the nation’s leading health insurance plans and pharmacy benefit management firms. Their healthcare-focused teams help several million Americans each year to navigate the complex Medicare Advantage and Part D landscape. To learn more please visit ConveyHealthSolutions.com.
Contacts
Simplify Healthcare
Phone: (844) 720-6678
Email: info@simplifyhealthcare.com
