Intelligent Innovation for Healthcare

Health plans face rising costs, tighter regulations, and a shrinking workforce. We build and operate AI-powered solutions across proven platforms, helping health plans move beyond roadmaps to sustained operational results.

30-Day AI Readiness Assessment

Not sure where to start? We'll assess your workflows, identify high-impact opportunities, and deliver a roadmap you can act on.

[THE PROBLEM]

Your team is at capacity. The work keeps growing.

Margins are shrinking

Between rising costs, risk adjustment complexity, and administrative inefficiency, health plans are being squeezed from every direction.

The regulatory landscape keeps shifting

Evolving regulatory requirements demand faster, more precise responses than most organizations are currently equipped to deliver.

The tools exist. Most teams haven't had the chance to activate them

Fragmented platforms and legacy workflows create real barriers, but so does the distance between what modern technology can do and what your organization has been equipped to activate.

[our APPROACH]

We build and run the systems that let your team scale.

We are a solutions partner for health plans that want results, not just roadmaps. We extend investments in established technology platforms like Snowflake, UiPath, Salesforce, and more into AI‑powered infrastructure that modernizes and transforms operational workflows.

We don't just implement software and hand you a manual. We build systems, we operate them, and we take responsibility for the results.

[our APPROACH]

Human-in-the-loop, always.

AI-powered workflows support your people, they don't replace human judgment. Every decision that matters stays with your team. We use AI to handle the repetitive work so your staff can focus on what they do best.

Get In Touch

[our SERVICES]

How You Can Work With i2 Health

Advisory Services

Call us in for a vendor evaluation, a second opinion, or a thought partner on a specific initiative. No fixed scope. We bring deep industry and technical knowledge and size the engagement to what you need.

System Integration

We support you at every stage: standing up a new system, expanding one you already have, or optimizing what's already live. We configure it to your workflows and stay until it delivers.

AI Readiness

AI creates real opportunity for payers, but only with the right foundation. We assess where you stand, clean the data AI depends on, and put governance in place before you scale, not after.

AI-Powered Workflows

We deploy AI-powered workflows across utilization management, claims, risk adjustment, and HEDIS. Automation handles the repetitive work. Your team handles the judgment calls.

[AI-POWERED WORKFLOWS]

Streamline Your Operations

Credentialing delays cost revenue and creates access gaps for members. We automate data collection, verification, and follow-up, cutting cycle time and manual error.

Appeals and grievances carry regulatory and reputation risk when they move slowly. We automate intake, categorization, and routing to meet resolution timeframes that hold up under audit.

Rule-based fraud detection misses the patterns that cost the most. We analyze claims, behavioral, and network data to surface anomalies and prioritize investigative leads.

Manual prior authorization reviews slow care and put CMS-0057-F compliance at risk. We automate the decision and clinical review workflow, cutting turnaround time while keeping judgment calls with your staff.

High-risk members are easy to miss across a stretched population. We surface them for care managers with real-time recommendations, closing gaps in care without adding headcount.

Care gaps missed until year-end can't be closed in time. We identify them early, prioritize outreach, and streamline documentation so performance compounds each cycle.

Manual chart review can't keep pace with population risk, and audit readiness slips. We automate HCC suspecting and redocumentation so RAF scores reflect true risk and hold up under RADV.

High-volume, error-prone claims processing adds cost with every manual touch. We automate edits, flag anomalies, and route exceptions to speed adjudication and cut denials.

Plans that can't deliver timely, personalized service are losing ground. We automate outreach and personalize engagement, moving from reactive service to proactive relationship management.

[Partnerships]

Technology Partnerships

We don't build everything from scratch. We extend investments in established technology platforms into AI‑powered infrastructure that modernizes and transforms operational workflows.

Data platform for analytics, reporting, and operational intelligence

Automation and workflow orchestration

Clinical and non-clinical data integration across members and providers