Processes

What will AGI do for Support healthcare management?

A member is identified for care coordination, disease management, or wellness intervention through claims analysis or provider referral.

Trigger
A member is identified for care coordination, disease management, or wellness intervention through claims analysis or provider referral.
Outcome
The member receives coordinated care services, completing the active health management plan and stabilizing medical needs.

The work itself

Grounded Work Profile

Measured by

  • Member Health Risk ScoreprocessProfile
  • Hospital Readmission RateprocessProfile
  • Medical Loss RatioprocessProfile
  • Care Management Case DurationprocessProfile

Key steps

  • Identify and stratify members requiring healthcare managementprocessProfile
  • Assign clinical or care management staff to the memberprocessProfile
  • Develop a personalized care or disease management planprocessProfile
  • Coordinate with providers to authorize and facilitate treatmentsprocessProfile
  • Monitor member adherence and clinical progressprocessProfile
  • Evaluate intervention results and close or adjust the management caseprocessProfile

How AGI delivers it

Four ways AGI delivers for Support healthcare management

  • 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 Support healthcare management connects

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Go deeper

Explore Support healthcare management