We don’t cost health plans.
We save them.
We empower AI.
Helping Health Plans Stay Resilient, Competitive & Compliant
The healthcare payer industry has been officially disrupted.
To survive and thrive at the pace of change, health plans must embrace AI forward strategies for cost reduction and operational optimization to remain competitive.
At healthplans.ai, we are delivering:
Dramatic enterprise cost savings throughout the health plan
Reduced risks through real-time low-cost regulatory compliance
Fraud, Waste, & Abuse avoidance
Actionable Insights through meaningful performance dashboards
Recommendations for better process, productivity & utilization
Take the Proven Path to AI Value
Internal AI initiatives are often costly, riddled with risk, and take time to stand up. Many external vendor solutions are still in the conceptual stage, and they often require significant investment from health plans to develop.
Why risk wasted time, missed savings, and the security of your health plan unnecessarily? At healthplans.ai, we have already solved 200+ health plan AI use cases and are delivering savings through our suite of health plan specific AI solutions.
At healthplans.ai we offer
Accountability
Internal priorities shift and employees change leaving health plans vulnerable to AI breaches and risk. Through our contractually bound SLAs, healthplans.ai continually updates and monitors AI to ensure the plan continues to successfully benefit from AI - and isn’t left exposed.
Valuable Insights
Our solutions work across the health plan enterprise to deliver non-biased, actionable insights cross-departmentally, breaking down silos and uncovering ways to engage and drive outcomes.
Low Touch
Working in the background, our AI solutions are non-invasive, easy to implement, and require little input from the health plan.
Measured Savings
We track and communicate all savings through our ROI tracker, providing real-time information to departments, executives, and/or boards.
Security
Our AI solutions employ robust encryption and adhere to industry standards - HIPAA, ISO, SOC 2 Type 2 and FedRAMP, ensuring the highest level of data protection.
On-Going Regulatory Compliance
Regulations and requirements for compliance are constantly changing and difficult to ingest. We monitor and incorporate regulatory changes across applicable health plan departments without the need for staff intervention.
Speed to Value
Our AI solutions are ready to be deployed and can quickly deliver ROI within weeks.
Don’t Get Left Behind
Gone are the days of 20 consultants and an 80 slide deck to obtain clear optics into a health plan. Our Insights AI Solution is completely unobtrusive, deployed over a few weeks, and provides valuable, actionable health plan intelligence. This intelligence uncovers financial leakage, identifies areas for process improvement, and offers opportunities for competitive advantage. Without embracing AI, health plans risk falling behind, unable to compete with those leveraging advanced technology to drive efficiency and innovation.