Power positive health outcomes in the era of AI

Health plans are on a mission to become smarter and more efficient while rethinking how healthcare should function.

AI helps health plans reach these goals by enabling more predictive and productive operations. This includes enhancing member experiences through AI-driven customization to streamlining administrative processes.

Infusing AI helps health plans better predict risk, drive efficiency and optimize costs to facilitate stronger engagements with both providers and members.

Healthcare providers want to deliver better health outcomes while optimizing costs and elevating patient experiences.

AI augments how healthcare is delivered. It frees physicians and nurses to care for each patient better by automating time-consuming administrative functions and empowers patients with greater access to health information and coaching.

This confluence of AI innovation results in healthier communities and bottom-line growth.

Life sciences organizations want to accelerate knowledge extraction, speed product launches, enhance clinical trial QA and optimize supply chain processes.

AI has the power to drive new efficiencies for life sciences enterprises and bring breakthroughs into focus faster.

AI can empower growth right now and open the door to new discoveries tomorrow.

Augmented care at home

Duke Health and NTT DATA are revolutionizing healthcare by turning the patient’s home into a human-centered and high-value care setting with the power of automation and GenAI.

This new home-care model integrates multiple technologies, including a GenAI-driven virtual agent, automation, device interoperability, remote patient monitoring and a patient app and portal. The solution keeps medical staff in direct contact with the patient to ensure a human is always in the loop while allowing cancer patients to receive more of their care at home.

Engaging members to improve outcomes

CareMates, a company that reimagines care for older adults — transformed its B-to-B-to-C business model, positioning the company for rapid adoption and feature growth.

The CareMates platform includes a personal assistant called Hachiko. The CareMates community uses Hachiko GPT to get information and connect with services like health and wellness, nutrition and diet, exercise, financial planning, retirement and insurance, and hobbies.

Revolutionizing care management

A national health plan needed to identify candidates who were not previously targeted for care management and were high-risk or demonstrating risk behaviors.

NTT DATA’s solution is a cloud-based, scalable as-a-service foundational data platform supporting AI/ML. To identify patient diagnoses quickly, the AI model was trained and validated with a large volume of multi-payer datasets to remove bias and analyze data accurately.

Provider contact center for a National Health Plan

The contact center for a major national health plan wanted to simplify processes for both members and providers. Specifically, data entry and inquiries needed to be more efficient and accurate.

Using a guided form of generative AI, NTT DATA’s solution improved overall provider contact center performance, even eliminating calls entirely in some cases.

GenAI tackles compliance management

A top US company that sells breathing care, oxygen therapy and home medical equipment must adhere to multiple payer policies that often change yearly.

Using AI, the organization can now monitor, understand and alert relevant changes across a vast and complex information landscape to avoid millions in compliance penalties.