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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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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.
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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
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.
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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.
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
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“Working with Infermedica has strengthened our preliminary care offering, and offers our customers a seamless user experience, and a fast route to an outcome.”
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Bart Jordens
Former Global Head of Innovation at Cigna
Providing support to health plans and their members around the world
18M+
health checkups performed
100+
customers and partners globally
10+
years of experience in AI
92%
accuracy in care recommendation9
Compliant with standards for patient data protection
Quality Management System certified with PN-EN ISO 13485:2016
Processes and Development Procedures certified with ISO 27001:2017
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