AI-Powered Care Navigation for Health Plans

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74% of members don't know the appropriate level of care for their 
needs1, leading to...

Lower engagement for diverse and rural populations

Increase in inappropriate medical expenses

Poor member experience and CAHPS ratings

Increased out-of-network utilization

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Book a meeting to learn more about our AI-powered member engagement tool

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Infermedica Care Navigation for Payers

Our solutions help health plans connect to their members with clinically validated, AI-powered care navigation that guides members towards the most appropriate and cost-effective care.

Step 1

Step 1

Engage your members exactly when and where they need you, across any channel within your digital ecosystem with our symptom checker.

Step 2

Change members care seeking behavior by guiding them to the most appropriate and cost effective care.

Step 3

Connect members to in-network providers, patient education, and additional services.

Step 4

Utilize member-sourced data to fine-tune risk stratification and develop targeted programs. By integrating and enriching REAL, SOGI, HCC, and other data sets, create personalized outreach programs to boost engagement.

Step 1

Step 1

Engage your members exactly when and where they need you, across any channel within your digital ecosystem with our symptom checker.

Step 2

Step 2

Change members care seeking behavior by guiding them to the most appropriate and cost effective care.

Step 3

Step 3

Connect members to in-network providers, patient education, and additional services.

Step 4

Step 4

Utilize member-sourced data to fine-tune risk stratification and develop targeted programs. By integrating and enriching REAL, SOGI, HCC, and other data sets, create personalized outreach programs to boost engagement.

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57% of members visit the wrong provider for their condition2

Guiding members to the appropriate level of care, right from the start, is crucial. Learn more about our AI-powered care navigation.

Schedule a demo

Value we have delivered to our customers

0%

of ED visits redirected to lower cost settings3

0%

members changed their care seeking based on Infermedica recommendation4

0%

of members who intended to go to the emergency room chose teleconsultation instead5

0%

of members follow Infermedica’s recommendation6

0x

more in-network visits scheduled7

0%

reduction in in-person visits8

Logo Cigna

“Working with Infermedica has strengthened our preliminary care offering, and offers our customers a seamless user experience, and a fast route to an outcome.”

Bart Jordens

Bart Jordens

Former Global Head of Innovation at Cigna

Providing support to health plans and their members around the world

17M+

health checkups performed

100+

customers and partners globally

12

years of experience in AI

92%

accuracy in care recommendation9

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Compliant with standards for patient data protection

ISO

Quality Management System certified with PN-EN ISO 13485:2016

Processes and Development Procedures certified with ISO 27001:2017

Join the Future of AI-powered Member Navigation

Amy Window

VP of Strategic Alliances

Dana Fieni Photo

Dana Fieni

Director, US Healthcare Solutions