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PODCAST

How AI and Automation Are Transforming Healthcare Member Engagement

two people use ai and automation to improve healthcare member engagement
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In this episode, Everise partners with Becker’s Healthcare Podcast to explore innovation in healthcare, focusing on how technology is reshaping member engagement and experience.
As the AI landscape rapidly evolves, Everise SVP for Healthcare Stuart Langley and Humana VP Sadie Rizzuto dive into how predictive models, automation, and AI improve healthcare member engagement, streamline claims, and strengthen provider collaboration. Together, they unpack how these tools deliver a more proactive and personalized customer experience in healthcare.

Highlights

  • Member engagement is shifting toward quality interactions, using predictive models to personalize outreach and drive meaningful action.
  • AI and automation reduce friction in high-stress healthcare moments by simplifying processes like claims and care scheduling.
  • Digital tools help providers reconcile payments faster, reducing payer–provider friction and ultimately, improving healthcare member experience.
  • Personalized education during open enrollment helps members discover underused benefits and make informed decisions earlier.
  • Internal governance and AI compliance are key challenges, requiring precise definitions and collaboration between legal, tech, and marketing teams.
  • Success with AI depends on strategic focus, choosing a few trusted partners over chasing every new tool or trend.
  • Organizations must stay agile and data-driven, ready to pivot or stop initiatives that don’t deliver expected outcomes.

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