Acquisition expands Sagility’s healthcare quality, HEDIS, and care gap orchestration capabilities for health plans
ATLANTA–(BUSINESS WIRE)–Sagility, a leading tech-enabled healthcare operations and transformation company, today announced its acquisition of CareSeed, a U.S.-based healthcare analytics company specializing in NCQA-certified HEDIS quality reporting, medical record review, chart abstraction, and regulatory analytics for health plans.
Founded in 2012 and headquartered in Kansas City, Missouri, CareSeed serves 30 small and mid-sized U.S. payers, with a strong footprint in Medicare Advantage. The company’s cloud-native platforms, Forecast and Harvest, help health plans improve HEDIS performance, streamline chart abstraction and medical record review workflows, strengthen audit readiness, and manage increasingly complex regulatory requirements.
The acquisition represents a strategic expansion of Sagility’s healthcare quality and Stars capabilities and advances the company’s broader vision of moving health plans beyond retrospective HEDIS reporting toward integrated, member-level quality orchestration.
By combining CareSeed’s technology with Sagility’s healthcare operations, clinical services, and AI-led transformation capabilities, Sagility will deliver an end-to-end quality operations continuum.
The combined offering will support health plans across the full quality lifecycle — from HEDIS abstraction and reporting to prospective gap closure, provider engagement, care coordination, and continuous performance monitoring.
“CareSeed has built strong capabilities in quality measurement, HEDIS reporting, and healthcare analytics that have helped health plans navigate an increasingly complex regulatory environment,” said Ramesh Gopalan, Managing Director and Group Chief Executive Officer of Sagility. “Together, CareSeed’s technology platforms and Sagility’s clinical, operational, and AI-enabled transformation capabilities create a more connected quality operations model — helping health plans identify and close care gaps earlier, improve member outcomes, enhance Star Ratings performance, and drive more sustainable financial results.”
CareSeed’s Forecast platform provides NCQA-certified HEDIS reporting and quality analytics, while Harvest delivers cloud-based medical record review, chart abstraction, and supplemental data capture capabilities. Together, these platforms create a modern foundation for quality operations transformation and integrated care continuum management.
“Our clients are under significant pressure to improve quality scores, optimize Stars performance, and manage growing regulatory complexity,” said Thomas Mueller, CEO, CareSeed. “Joining Sagility allows us to combine our specialized quality analytics and HEDIS capabilities with Sagility’s operational scale, clinical expertise, and transformation capabilities to deliver greater value to health plans.”
The acquisition strengthens Sagility’s position in the mid-market payer segment while expanding opportunities to bring scalable quality and Stars solutions to larger national health plans.
Houlihan Lokey served as exclusive financial advisor to CareSeed, and Allrise Legal Counsel and Swanson Bernard served as legal counsel.
About Sagility
Sagility is a leading healthcare operations partner that helps payers, providers, and pharmacy benefit managers reduce cost, improve quality, and enhance member and provider experiences. With more than 25 years of exclusive focus in healthcare, Sagility combines deep domain expertise with technology-led transformation — embedding analytics, automation, and AI directly into operations while ensuring compliance with complex regulatory and clinical requirements. Serving over 80 healthcare clients, including 7 of the top 10 U.S. health plans, Sagility delivers end-to-end operational transformation at scale through a model built on accountability, transparency, and measurable outcomes. To learn more, visit: www.sagility.com
Contacts
Media Contact
Christina Vanecek
Global Head of Marketing, Sagility
[email protected]
