Affinitē Platform
Transform Clinical Workflows with Intelligent Automation for Better Care
A dynamic health payer platform seamlessly integrating clinical workflows and advanced analytics.
Discover a next-generation data management solution designed exclusively for health payers to transform how they manage clinical workflows and analytics.
The Affinitē Platform redefines healthcare data integration and automation, empowering payers to deliver greater value, efficiency, and care for their members.
The platform centralizes organizational data, integrates advanced analytics, and seamlessly aligns with clinical workflows to drive better decision-making and member outcomes.
56%
increase in care management team outreach
50%
increase in members enrolled in care management via outreach
3.2x
increase in touchpoints with high-risk members
13.4x
increase in successful contact with high risk members
5.9%
decrease in hospital admissions
2.9%
decrease in ER visits
The Affinitē Platform integrates foundational AI and data science capabilities into every layer of its clinical solutions, enabling organizations to manage risk, engage members, and optimize care at scale. By continuously capturing and utilizing operational data, Affinitē ensures ongoing learning and performance improvements to meet the dynamic needs of the healthcare landscape. Through its powerful, unified framework, health payers can deliver meaningful outcomes faster and more effectively than ever before.
At the core of the Affinitē platform are stand-alone yet fully integrated tools for Care Management, Utilization Management, and Quality Improvement – streamlining critical functions to save time and improve productivity for internal teams. Complementing these is Intelligent Insights, our powerful suite of data-driven applications that deliver actionable analytics precisely when and where they’re needed most.
Affinitē acts as a single source of truth, bringing together structured and unstructured data from diverse sources, including clinical, behavioral, SDoH, HIEs, weather, and case notes. This unified data ecosystem empowers health plans to uncover actionable insights, foster collaboration, and deliver more impactful care.
Purpose-built for health payers, the platform simplifies data integration and analysis using advanced AI, data analytics, and interoperability standards. This enables organizations to improve operational efficiency and enhance member health outcomes.
Designed as a true cloud-native application, Affinitē leverages the speed, scalability, and flexibility of the cloud, ensuring superior performance and adaptability. Affinitē offers a modular, scalable framework that allows health plans to start small and expand capabilities over time. Use it as an end-to-end solution or deploy individual modules tailored to your needs for a faster, seamless implementation.
Affinitē integrates data science directly into medical management workflows to automate next-best actions, streamline care coordination, and optimize the management of at-risk populations. The platform intelligently combines analytics with clinical operations to enhance decision-making and improve operational precision.
Powering Enterprise-Wide Intelligence and Automation
Affinitē makes data and automation work everywhere. It connects all your health plan data with external sources like SDoH, drives real-time engagement with predictive analytics that spot risk 5x faster, and powers intelligent automation across clincal workflows. With seamless data orchestration and dynamic dashboards, everyone stays aligned and ready to act.
Affinitē - Core Benefits
- Unify Departments and Data
Consolidate all organizational data into a single, dynamic system, providing a holistic view of operations and member information.
Adapt with Ease
Respond to evolving business needs with the support of an expert team and a hands-on approach, ensuring continuous improvement in ROI.
Integrate Data Beyond SDoH
Expand insights with a wide variety of data sources, seamlessly incorporating behavioral and clinical profiles alongside social determinants of health (SDoH).
Operationalize Real-Time Analytics
Harness real-time data analysis at scale to drive better decision-making across entire member populations.
Microtarget with Precision
Use advanced analytics, AI, and predictive modeling for deep member segmentation and actionable real-time insights.
- Streamline Processes with Automation Leverage standardized processes and intelligent automation to increase efficiency and reduce manual workloads.
- Optimize Care Coordination
Automatically prioritize and guide care coordinators on next-best actions, improving both speed and accuracy.
- Enhance Member Engagement
Engage members through real-time, multi-channel communication supported by accurate, timely data.
- Foster Collaboration
Facilitate seamless interactions across stakeholders with an intuitive provider portal and mobile app, enhancing coordination between payers, providers, and members.
- Boost Productivity and Decision-Making
Save time and increase case management capacity with automated decision-making, data-driven workflows, and proactive interventions.
Related Resources
Cloud-Native Architecture: The Foundation for Secure, Scalable AI in Health Payer Integration
Explore how cloud-native architecture is transforming healthcare integration, enhancing AI adoption, and ensuring security and scalability for better patient outcomes.
4 Key Ways Technology is Integrating Behavioral and Physical Health
Discover how AI and intelligent automation are transforming healthcare by integrating behavioral and physical health, leading to improved patient outcomes and more efficient care delivery.
AI in Value-Based Care: Unlocking New Possibilities for Healthcare Payers
Discover how AI enhances value-based care by identifying high-risk members, optimizing resources, and improving member-provider experiences for better healthcare outcomes.
See why health plans trust Affinitē for their value-based care and population health initiatives.
Affinitē Platform FAQ
The Affinitē Platform is a cloud-native healthcare payer platform that combines advanced analytics, AI-enabled automation, and integrated clinical workflows into a single solution. It helps health plans unify data, improve operational efficiency, and drive better member outcomes.
Affinitē serves as a centralized source of truth by bringing together structured and unstructured data from claims, clinical systems, behavioral health, social determinants of health (SDOH), health information exchanges (HIEs), and other sources. This unified data foundation helps organizations generate actionable insights and improve collaboration across teams.
Affinitē embeds AI, predictive analytics, and data science directly into clinical workflows. The platform identifies emerging risks, prioritizes interventions, recommends next-best actions, and helps care teams engage members earlier to improve outcomes and reduce costs.
The Affinitē Platform includes integrated solutions for Care Management, Utilization Management, Quality Improvement, Population Health Analytics, Intelligent Insights, Provider Engagement, and Member Engagement. Organizations can implement individual applications or deploy the full platform as an end-to-end solution
Yes. Affinitē is designed to simplify interoperability and data integration across healthcare environments. The platform supports connections with claims systems, EMRs, registries, HIEs, and other internal and external data sources, allowing organizations to leverage existing technology investments.
Affinitē automates workflows, routes tasks intelligently, delivers real-time insights, and embeds analytics directly into daily operations. By reducing manual processes and improving decision-making, health plans can increase productivity while focusing resources on high-value activities.
Yes. Affinitē features a modular, cloud-native architecture that allows organizations to start with a single application and expand over time. Health plans can deploy only the capabilities they need while maintaining a flexible foundation for future growth and innovation.
Affinitē combines healthcare analytics, AI-enabled automation, and operational workflows in one connected platform. Instead of only reporting on data, Affinitē helps health plans turn insights into action across care management, utilization management, quality improvement, provider engagement, and member engagement.