Affinitē Intelligent Automation

Transform Care Delivery with Intelligent Automation that Thinks Ahead

Accelerate Health Outcomes with AI-Powered Automation

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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.

Diagram of Affinite Intelligent Automation process flow

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.

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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.

Custom Rules Engine

Tailor workflows to your organization’s needs – from rule logic to risk thresholds

Instant Stratification

Automate risk segmentation in real time and trigger personalized next-best actions

Predict Foresight

Harness AI to anticipate health trajectories and deploy early interventions

Unified Ecosystem

Integrate data from EMRs, claims, social determinants, and more for holistic population health management

User-Governed Controls

Empower business users to define and refine rules without relying on technical teams

Improved Care Coordination

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.

Chart showing before and after results of CareFlow Rules used with the Pre-Term Birth Predictive Model.

Voices from the Care Team:
Making a Lasting Difference for Members

“Our team has been able to co-manage medical and behavioral health cases and it makes me excited and passionate to be making a difference for our members.”
“All of the information shared with the referrals we receive give me so much insight to the challenges of a member. It helps me connect and establish trust with the member. This is leading the member to pursuing care on their own."
“All of the information shared with the referrals we receive give me so much insight to the challenges of a member. It helps me connect and establish trust with the member. This is leading the member to pursuing care on their own."
“We can see the members behavioral and medical information that is extensive and very helpful for our CMs”
"One of the members I reached out to said “I can’t believe you are calling today. My son is having such a hard day with depression and anxiety and needed referrals for outpatient therapy.”
“You guys are really onto something!”

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

All 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.

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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.

read more

Own the future of population health with Affinitē Intelligent Automation.

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Affinitē Intelligent Automation FAQ

Affinitē Intelligent Automation is an AI-driven automation solution that helps health plans streamline clinical and operational workflows by embedding real-time analytics directly into decision-making processes. It enables organizations to move from fragmented, manual processes to coordinated, automated action across the care continuum.

Affinitē Intelligent Automation delivers real-time insights and automated workflows that enable faster, more proactive interventions. By ensuring the right information reaches the right teams at the right time, the platform helps health plans close care gaps, improve coordination, and drive better member outcomes.

Affinitē Intelligent Automation replaces fragmented, manual workflows with intelligent, automated processes that evaluate data continuously and trigger next-best actions. This reduces administrative burden, eliminates delays, and allows care teams to focus on higher-value clinical activities.

Unlike traditional automation tools that rely on static rules or scripted processes, Affinitē Intelligent Automation combines real-time analytics, predictive insights, and configurable workflows to drive dynamic, data-driven decision-making. This allows health plans to automate complex clinical and operational processes, not just repetitive tasks.

Affinitē Intelligent Automation breaks down silos by enabling unified, cross-functional workflows across clinical, operational, and administrative teams. With shared data and coordinated processes, organizations can improve communication, streamline handoffs, and ensure continuity of care.

Yes. Affinitē Intelligent Automation is designed to integrate seamlessly with existing payer systems, clinical platforms, and data sources. This allows health plans to enhance current workflows without replacing core infrastructure, enabling faster adoption and greater operational impact.

Affinitē Intelligent Automation improves efficiency by automating workflows, reducing manual effort, and enabling earlier, more targeted interventions. By aligning analytics with execution, the platform helps reduce avoidable utilization, optimize resource allocation, and lower overall operational and medical costs.

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