Intelligent Automation
Affinitē Intelligent Automation
Transform Care Delivery with Intelligent Automation that Thinks Ahead
Accelerate Health Outcomes with AI-Powered Automation
AI-driven automation built for the demands of modern healthcare.
In an era where healthcare payers are under relentless pressure to deliver more – with greater accuracy, efficiency, and empathy – Affinitē Intelligent Automation rises to meet the moment. Designed for agility, scalability, and precision, Affinitē transforms traditional payer workflows into orchestrated, high-impact operations.
By combining advanced AI, real-time data processing, and configurable logic, Affinitē Intelligent Automation empowers health plans to do more than react – it enables them to anticipate. From identifying rising-risk members to orchestrating seamless interventions, you’ll gain the speed, intelligence, and flexibility needed to lead in a value-based world.
Precision at the Point of Action with
Affinitē Intelligent Automation
Real-Time Risk Detection
Surface emerging health risks earlier with continuous data monitoring and predictive insights.
Intelligent Workflow Automation
Replace manual, error-prone tasks with fully customizable routing that adapts to your evolving priorities.
Data-Driven Strategy
Use AI-powered analytics to uncover population trends and sharpen decision-making.
Seamless System Integration
Unify clinical, operational, and administrative data across your enterprise for a 360° member view.
What Sets CareFlow™ Intelligence Apart?
Crafted specifically for healthcare payers, Medicare Advantage plans, and at-risk organizations, Affinitē CareFlow™ intelligence delivers a best-in-class automation engine designed to drive both strategic and clinical outcomes. Our proprietary platform intelligence drives the population identification and segmentation process and manages the integrated workflow components that ensure the right users are focused on the right members.
CareFlow Rules (CFRs) target plan populations and individuals to intelligently automate high impact interventions.
Tailor workflows to your organization’s needs – from rule logic to risk thresholds
Automate risk segmentation in real time and trigger personalized next-best actions
Harness AI to anticipate health trajectories and deploy early interventions
Integrate data from EMRs, claims, social determinants, and more for holistic population health management
Empower business users to define and refine rules without relying on technical teams
Accelerate care gap closures and streamline member outreach with precision timing
Turning Data into Targeted Impact
Predictive models identify broad populations at risk – but CareFlow Rules sharpen the lens, pinpointing the highest-risk members so care teams can act where it matters most.
In one example, a large national health plan sought to proactively identify members at risk of pre-term birth to deliver earlier, more effective interventions. Using the Pre-Term Birth CareFlow Rule, the plan successfully pinpointed and engaged those high-risk members — enabling timely outreach and improving the likelihood of better maternal and infant outcomes.
Voices from the Care Team:
Making a Lasting Difference for Members
Eliminating the Friction That Slows Down Population Health Progress
Managing population health shouldn’t feel like chasing shadows. Affinitē addresses the structural inefficiencies holding your organization back – and replaces them with clarity, speed, and actionable intelligence.
From Manual to Automated
Free your teams from time-consuming processes that slow down care delivery.
From Missed Risks to Early Action
Detect rising-risk members and critical SDoH signals before they escalate into costly conditions.
Escalating Costs to Targeted Control
Prioritize the right members, in the right moment, for smarter resource allocation.
From Fragmentation to Coordination
Break through organizational silos with tools that promote unified, cross-functional collaboration
With Affinitē Intelligent Automation, it’s not just about solving problems – it’s about solving them better and faster than ever before.
Related Resources
Infographic: Transforming Care Management with Intelligent Automation
See first hand how embedding analytics directly into workflows creates a smarter, faster, and more connected care management process. With real-time insights and intelligent automation, health plans can close critical gaps, assign cases more effectively, and ensure timely, proactive outreach to members.
Rewiring Care Management: Why AI-Enabled Payer Transformation Can’t Wait
AI-driven transformation in healthcare is essential for modernizing care management, reducing costs, and improving member outcomes. Discover why payers must act now to stay competitive.