/

Case Studies

/

Transforming healthcare with personalized AI

Transforming healthcare with personalized AI

Transforming healthcare with personalized AI

How Fractal Health Triage enabled coordinated care for medicare members

How Fractal Health Triage enabled coordinated care for medicare members

5K+

Members weekly

80%

Time reduction

360°

Member view

5

Core pillars

The challenge

Fragmented care delivery

A Fortune 100 health plan faced significant challenges with disconnected clinical care plans. Different internal teams delivered fragmented approaches, resulting in costly reactive care, poor coordination, and confused members.

Key challenges

  • Multiple disconnected clinical models

  • Lack of unified health view

  • Disjointed clinical interventions

  • Reactive care approach

The solution

Health Triage Platform

Stratification

Risk-based member segmentation

Identification

Predictive health modeling

Prioritization

Urgency-based ranking

Personalization

Tailored care strategies

Monitoring

Continuous care tracking

Implementation approach

1

AI-Powered care

  • Predictive health models

  • Automated risk assessment

  • Data-driven interventions

2

Coordinated delivery

  • Unified care management

  • Cross-team collaboration

  • Integrated care delivery

The impact

Transformed care delivery

Operational efficiency

80%

Process optimization

  • Faster member identification

  • Streamlined workflows

  • Automated processes

Member experience

5K+

Engagement rate

  • Weekly member reach

  • Personalized care

  • Improved satisfaction

Care Quality

360°

Coordination level

  • Unified health view

  • Proactive care

  • Better outcomes