Harnessing AI to Navigate the Shifting Landscape of Member Engagement

Healthcare continues to evolve and member engagement, or active involvement of individuals in their own healthcare, is vital in its success. Amanda Bury, CCO at Infermedica, outlines challenges faced by health plans such as financial viability, interoperability of systems and regulatory requirements. She suggests AI-powered tools can help overcome these, as well as accessing pre-claim information on member behaviour. However, barriers such as privacy, regulatory compliance, technical issues, diversity in member populations and ensuring profitability must also be addressed.