Convey Health Solutions is part of the launch of Sagility Synchrony alongside Sagility and Simplify Healthcare. The collaboration brings together complementary capabilities to support a more connected approach to Medicare Advantage.
For Medicare plans, the significance is not just the announcement itself. It is what this kind of alignment can make possible across the lifecycle, especially as plans continue to manage complex operational demands, tighter timelines, and rising expectations around accuracy, coordination, and member experience.
Below is the press release shared by Sagility:
ATLANTA – April 14, 2026 /PRNewsWire-PRWeb/ — Sagility, a leading technology-led business operations solutions and services provider in the healthcare sector, today announced a strategic alliance with Convey Health Solutions (Convey) and Simplify Healthcare® to power its latest offering Sagility Synchrony. This collaboration creates an integrated lifecycle solution for Medicare Advantage (MA) plans, designed to eliminate operational silos and replace fragmented manual processes and point solutions with a unified managed services model anchored in Sagility-led operations and embedded technology.
Solving Medicare Advantage fragmentation
Launching at a critical time for health plans, Sagility Synchrony addresses the inherent complexities of the MA lifecycle during a period of increased regulatory scrutiny and compressed operational windows. The solution streamlines the process from plan design, Center for Medicare & Medicaid Services (CMS) filing and building member materials to enrollment and billing by integrating Simplify Healthcare®’s Benefit1™ platform for automated benefits plan design and document management with Convey’s Miramar platform for enrollment and premium billing. With these tools together, Sagility provides a seamless end-to-end solution that ensure plans remain compliant while meeting rigorous federal deadlines.
“Health plans have historically managed the journey from plan filing to member enrollment through disconnected systems, which often leads to errors in hand-offs and 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.”
“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.” said Ruchir Ranjan, Chief Executive Officer, Simplify Healthcare®.
Core pillars of Sagility Synchrony
The strategic alliance focuses on three primary pillars of the Medicare Advantage lifecycle:
- Plan design automation and member communication: Utilizing a centralized product database to deliver automated CMS PBP and document filings (ANOC, EOC, SB), 508-compliant member communications, and real-time AEP readiness monitoring — ensuring health plans launch on time with zero compliance surprises.
- Integrated enrollment: Unifying enrollment applications and CMS data exchanges to drive speed and accuracy.
- Financial integrity: Automating premium billing and reconciliation to reduce revenue loss and decrease operational costs by 25% to 40%.
Improving the member experience
For members, the precision of Sagility Synchrony translates to a first-time right experience, including faster access to accurate benefit information, 98% on-time ID card fulfillment, and a significant reduction in billing-related grievances.
While Convey and Simplify Healthcare® continue to offer their specialized platforms independently, the unified managed services model provided through Sagility Synchrony is unique to this alliance, helping health plans protect their Star Ratings and maintain profitability in a high-pressure regulatory environment.
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 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 US, India, the Philippines, Jamaica, and Colombia.
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 www.ConveyHealthSolutions.com.
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. Follow us on LinkedIn, YouTube, X, and Instagram.
FAQs
What is the partnership between Convey Health Solutions, Sagility, and Simplify Healthcare?
The partnership brings together Convey Health Solutions, Sagility, and Simplify Healthcare to launch Sagility Synchrony, a more connected approach to supporting Medicare Advantage plans.
Why does the Convey-Sagility-Simplify partnership matter for Medicare plans?
The partnership matters because Medicare plans are managing increasing complexity across functions that often operate separately. By bringing together complementary capabilities from Convey Health Solutions, Sagility, and Simplify Healthcare, the collaboration is designed to support better alignment, smoother execution, and a stronger member experience.
How does the partnership support Medicare Advantage operations?
The partnership is built to support a more connected approach across important areas of Medicare Advantage, helping reduce friction across workflows and improve coordination across the lifecycle.
Does the Sagility Synchrony partnership replace a plan’s current systems or partners?
Not necessarily. The announcement introduces a collaboration among Convey Health Solutions, Sagility, and Simplify Healthcare intended to support greater alignment across key functions.
What outcomes can Medicare plans expect from the Convey partnership?
Supported by Convey’s Miramar platform, Sagility Synchrony is engineered to deliver 99% member enrollment accuracy, a reduction in grievance response times, and an overall more orchestrated end-to-end managed services model from plan design and compliance, to enrollment, supplemental benefits, and operational scale.
