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Home » Simplify Healthcare AI™ » Group Plan Recommendation

Group Plan Recommendation

Advise brokers and sales reps on plans that have historically been successful sales choices for similar clients or individuals

Challenge

Brokers face challenges in efficiently selecting plans for groups and individual members as preferences can vary widely. The burden of scrutinizing numerous plan options and aligning them with specific group/member requirements can be both daunting and time-consuming. Simplify Healthcare AI™, with its deep understanding of the Health Insurance industry, alongside knowledge of the Simplify Healthcare Platform and Health Cloud data models, can significantly improve the process of selecting suitable Medicare plans. Here’s how Simplify Healthcare AI™ can help:

Varied Preferences

Differing preferences make plan selection difficult

Time-Consuming Process

Selecting the right plan is slow and tedious

Complex Plan Alignment

Matching plans to specific needs is challenging

About the Solution

By utilizing AI models that are trained to analyze group and member needs, preference rigidity, previous history of sold plans, and what is actively favored by like-minded groups and individuals, Simplify Healthcare AI™ recommends closely aligned plans. By efficiently sorting through vast amounts of plan options, provider data, and pharmacy information, Simplify Healthcare AI™ identifies optimal matches for members. This quick and accurate data analysis not only saves time and resources but also leads to more informed decision-making.

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    About Simplify Healthcare
    Simplify Healthcare helps payers achieve growth and operational efficiency through its industry-leading platform, proven processes, and deep expertise. Founded in 2008, the company tackles some of the most complex challenges in healthcare by connecting the front, middle, and back office through a platform-centric, payer-focused approach.
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