Intelligent Innovation for Healthcare

Health plans face rising costs, tighter regulations, and a shrinking workforce. We build and operate intelligent, human-in-the-loop systems that help you do more with your team today.

90-Day Operations 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.

Costs keep climbing

Specialty drugs, GLP-1s, and an aging Medicare Advantage population are squeezing margins. Administrative overhead makes it worse.

Regulations keep tightening

CMS-0057-F requires real-time prior authorization APIs by January 2027. Your current systems weren't built for that.

Talent is hard to find

You can't hire enough nurses, coders, or claims processors. The ones you have are overloaded in manual work that doesn't require their expertise.

[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‑enabled 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.

Our automated workflows support your people—they don't replace clinical judgment. Every decision that matters stays with your team. We do the repetitive work so your team stays focused on the right priorities at the right time.

Get In Touch

[our SERVICES]

How You Can Work With i2 Health

Advisory
& Consulting

Assess your operations, identify high-impact opportunities, and deliver a clear transformation roadmap.

Operations
Optimization

Automate repetitive workflows to eliminate manual work so your team can focus on complex cases, not routine paperwork.

Systems
Integration

Integrate modern capabilities across your workflows, navigating legacy infrastructure without rip-and-replace risk.

Managed
Services

We build and run the solutions we put in place across your operations. Predictable, measurable, and flexible.

[TECH-ENABLED PAYER SOLUTIONS]

Streamline Your Operations

Streamline intake, triage, and clinical review workflows. Meet CMS-0057-F API requirements while reducing cycle times and freeing up clinical staff for complex cases.

Catch errors before payments go out. Automated data pulls, rule checks, and exception routing—with your team reviewing what matters.

Reduce manual touches on intake, routing, and adjudication support. Increase auto-adjudication rates without increasing risk.

Automate the back-office tasks triggered by calls and portal requests. Your service team handles conversations. Our systems handle the paperwork.

Automate recurring regulatory submissions and internal dashboards. Auditable workflows. Traceable actions. Less scrambling at quarter-end.

Keep directories accurate with automated validations, updates, and outreach workflows.

[Partnerships]

Technology Partnerships

We don't build everything from scratch. We extend investments in established technology platforms into AI‑enabled 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

[RESULTS]

Measurable Improvements

Health plans working with us see measurable improvements within 90 days.

50%

Reduction in prior auth cycle time

Days to first  production workflow

40%

Reduction in time for admin tasks

100%

Decision traceability

Transforming Payer Operations

We are a solutions partner for health plans that want results, not just roadmaps. We combine deep payer expertise with technology partnerships to help health plans work faster, smarter, and more scalable.

01: Assess & Design

We review your workflows, platforms, and operational bottlenecks. We identify 8-12 high-impact opportunities and build a business case with real numbers.

02: Build & Prove

We design and implement 1-3 solutions in 90 days. You see results before you commit to scaling. No multi-year contracts required upfront.

03: Operate & Scale

We run the systems we build. You can bring operations in-house over time, keep us as your managed services partner, or run a hybrid model.