Healthcare payers face a significant challenge: only 5% of the population accounts for nearly 50% of healthcare spending. These members often have multiple chronic conditions and experience high rates of unnecessary emergency department visits and unplanned hospital admissions.
Traditional care management struggles with siloed data, fragmented care plans, and the lack of a standardized methodology to identify at-risk members and intervene effectively.
Introducing Health Triage, our AI-powered Care Management Solution, designed to empower payers with proactive, preventive and personalized care. Health Triage integrates multiple data sources to provide a 360-degree view of each member, enabling care managers to identify and prioritize high-risk individuals, design targeted interventions and achieve better health outcomes while driving cost efficiency. Leveraging Generative AI, the solution also offers deeper insights into members’ health, equipping care managers with actionable intelligence.