AGI.do

Processes

What will AGI do for Manage health care delivery?

A health plan requires the establishment of provider networks and ongoing clinical oversight to support member medical needs.

Trigger
A health plan requires the establishment of provider networks and ongoing clinical oversight to support member medical needs.
Outcome
Members receive medically necessary, cost-effective care through optimized provider networks and active clinical coordination.

The work itself

Grounded Work Profile

Measured by

  • Medical Loss RatioprocessProfile
  • Prior Authorization Turnaround TimeprocessProfile
  • Hospital Readmission RateprocessProfile
  • Provider Network AdequacyprocessProfile

Key steps

  • Design and contract with provider networksprocessProfile
  • Execute utilization management and prior authorizationprocessProfile
  • Identify high-risk members for disease managementprocessProfile
  • Coordinate patient care and care transitionsprocessProfile
  • Evaluate clinical quality and population health metricsprocessProfile

How AGI delivers it

Four ways AGI delivers for Manage health care delivery

  • Services-as-Software

    Get the professional outcome delivered as software, priced on results, not headcount.

    Services.do

  • Autonomous Agents as digital employees

    Hire a digital employee that does the job under earned, supervised autonomy.

    Agents.do

  • Business-as-Code

    Encode how your work runs, once, as software that executes itself.

    Platform.do

Value flow

How Manage health care delivery connects

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Go deeper

Explore Manage health care delivery

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