MA Insurers Deploy Artificial Intelligence to Bridge Gaps in Care, Communication
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Jun 05, 2025
As artificial intelligence plays an increasingly prominent role in health care and other industries, Medicare Advantage organizations are exploring the myriad ways AI can safely support care management and quality improvement activities while driving operational efficiency. During a recent Bright Spots in Healthcare webinar, executives from three regional plans with MA membership shared how they are using “physician-led” AI to advance specialty care and transform member experience.
Health Alliance Plan (HAP) highlighted care gap notifications as a sound AI use case. As part of the insurer’s commitment to understanding members’ needs, HAP has developed a comprehensive data set it calls Consumer 360 that offers “quick insights about our members in near real time, things like members’ communication preferences, tenure with the plan, demographic information, and HEDIS care gaps,” said Chris Palermo, vice president of operations, during the May 22 webinar. HAP is a wholly owned subsidiary of Henry Ford Health System and serves Southeast Michigan, where its membership includes some 90,000 MA and dual eligible enrollees.
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