Archive · 24 Jul 2026
US Hospitals Outsource Work to India
The United States spends a lot on healthcare, and a big part of that goes to administrative tasks.
Because of rules and rising costs, US health insurers and hospitals are outsourcing these tasks to Indian companies like Sagility and Inventurus Knowledge Solutions (IKS Health).
Sagility helps insurers with things like claims management, while IKS Health helps hospitals with tasks like coding and managing revenue.
Both companies are growing and using technology to do their jobs better.
This trend could make healthcare operations India's next big export, just like IT services were in the past.
US healthcare spending is projected to reach $9 trillion by 2035.
Health insurers must spend at least 80% of premium income on medical claims.
Claim denial rates in the US reached 12% in 2024.
Sagility and IKS Health are major beneficiaries of the outsourcing trend.
Both companies are investing in technology and AI to improve their services.
- Who
- US hospitals and health insurers
- What
- Outsourcing administrative work to Indian companies
- When
- Ongoing trend with significant growth projected
- Where
- United States and India
- Why
- To reduce administrative costs and improve efficiency
Sagility
Inventurus Knowledge Solutions
Business Focus
Sagility
Sagility primarily works with health insurers, focusing on claims management, member engagement, and care management.
Inventurus Knowledge Solutions
Inventurus Knowledge Solutions (IKS Health) caters to healthcare providers, improving clinical documentation, medical coding, and revenue cycle management.
Technology and AI
Sagility
Sagility is investing in AI platforms like Synchrony and SmarTec to automate healthcare workflows.
Inventurus Knowledge Solutions
IKS Health is moving towards technology and AI-led healthcare operations, with a focus on automating documentation and improving coding accuracy.
Financial Performance
Sagility
Sagility reported revenue growth of 29.1% in FY26 and 27.6% in Q1FY27, with EBITDA margins flat at around 25%.
Inventurus Knowledge Solutions
IKS Health reported revenue growth of 19.9% in FY26, with EBITDA margins expanding to 35.6% and net profit increasing by 48.4%.
- US Healthcare Spending
- $5.7 trillion in 2025, projected to reach $9 trillion by 2035
- Medical Loss Ratio (MLR)
- Insurers must spend at least 80% of premium income on medical claims
- Claim Denial Rates
- National medical claim denial rates reached 12% in 2024
- Sagility's Revenue Growth
- 29.1% in FY26 and 27.6% in Q1FY27
- IKS Health's Revenue Growth
- 19.9% in FY26
- Sagility's EBITDA Margin
- 25.3% in FY26
- IKS Health's EBITDA Margin
- 35.6% in FY26
- Sagility's Stock Price
- ₹41.2 as of 22 July 2026
- IKS Health's Stock Price
- Trading sideways in the past year