Intelligent Automation

Intelligent Automation image

Smarter Workflows Built on Intelligent Automation

Mitigate unnecessary friction and empower your team by applying Intelligent Automation across all of your solutions. Our Rules Engine automatically populates work queues that help your team focus and act on the right information at the right time.

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Reduction in time to open a case
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Increase in care management referrals

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Increase in new cases
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Increase in active cases managed

Case Study:

Operational Efficiency with Intelligent Automation

After 1 year of using Affinitē CM, a plan with more than 1 million members covering all 50 states improved care management performance in all areas.

Make Your Job Easier with Smarter Workflows that Actually Work For You

Real-Time

Prioritization

Automatically see high risk micro-populations that would need immediate intervention.

Prescriptive Action

With our Rules Engine doing all of the work, you can plan your internal & external resources ahead of time to take faster action.

Streamline

Tedious Tasks

See open cases quicker and add notes, care plans, assigned tasks, and more all in one place.

Configurable Rules Engine

Take advantage of configurable automation so at-risk populations are getting the most impactful interventions in real-time.

Take Advantage of Intelligent Automation
Across Unified Solutions

Care Management

Affinitē CM drives optimal care coordination and management for your CM team using data science and workflow automation.

Utilization Management

Affinitē UM leverages Intelligent Automation to streamline administrative actions.

Appeals & Grievances

Affinitē AG helps compliance teams achieve successful federal and state audits with ease and saving on operational costs.

Quality

Improvement

Affinitē QI offers year-round visibility & management for HEDIS® submissions.

Risk

Adjustment

Affinitē RA improves risk adjustment score performance for payers & providers.

Insights:

Care Gaps

Affinitē IN provides health plans with real-time visibility into open care gaps.

Get Ahead of Member Health with a Real-Time Data Platform