Aetna, a CVS Health® company, has officially announced the introduction of Aetna Care Paths and AI-driven programs so to accelerate company’s ongoing technology investment, as well as improve the experience for medical professionals and their patients.
According to certain reports, this particular innovation arrives on the scene bearing an ability to simplify the member experience through clear and transparent procedures and benefits. More on the same would reveal how Aetna Care Paths features a US patent-pending technology which, on its part, is capable of delivering personalized recommendations for programs focused on supporting members on their healthcare journey.
“Aetna Care Paths are one example of CVS Health’s $20 billion multi-year digital investment in making health care simpler to navigate, a key aspect of Aetna’s strategy of leveraging technology to deliver a better experience for our members and providers,” said Nathan Frank, Senior Vice President and Chief Digital and Technology Officer at Aetna. “Leading-edge digital tools, including AI, support members at every stage of their health journey.”
Talk about the whole value proposition on a slightly deeper level, we begin from the feature to schedule a vaccine. You see, members can come expecting to view, and at the same time, schedule recommended vaccines through their local CVS Pharmacy and MinuteClinic within minutes. On the other hand, they can also find other providers of their choice.
Next up, there is the prospect of better visualizing claims. Here, Aetna’s latest brainchild leverages a “donut” chart to clearly break down claim costs, all for the purpose of helping members better understand what their plan covers and what they may owe.
Another detail worth a mention relates to the potential for availing quick and accurate answers to your query. In essence, by end of July, every member can find a chat icon on the home screen and core landing pages. Such an AI-powered chat functionality really goes the distance to provide immediate answers and integrate seamlessly with Aetna’s call centers if a higher touch is needed.
Then, there is an aspect committed to finding you the best doctor. This translates to how Aetna’s Smart Compare banks upon intelligent matching to offer members personalized provider recommendations. These will be providers with highest likelihood of meeting their preferences and individual health needs.
Joining that would be the offering of advanced accessibility. Deploying a sleek, low-light dark mode interface, Aetna Care Paths significantly improve accessibility, while simultaneously providing a more comfortable viewing experience for those who prefer a dark display, the first of its kind among leading health insurance apps.
Hold on, we still have a couple of bits left to unpack, considering we haven’t yet touched upon the availability of personalized cost tracking capabilities. These capabilities basically offer you a way to track their in-network and out-of-network spending, monitor their deductibles, and easily access the claims associated with such costs, helping them better understand and manage their health care costs.
Rounding up highlights would be feature revolving around provider bill matching and claims submission which makes it possible for members to digitally submit claims by simply snapping a photo of a provider bill. Once that part is duly completed, AI jumps into action by automatically matching with existing claims and helping members understand what they may owe.
Making this development even more significant would be the backing of CVS Health. For better understanding, the company currently operates more than 9,000 retail pharmacy locations, more than 1,000 walk-in and primary care medical clinics, a leading pharmacy benefits manager with approximately 88 million plan members, and a dedicated senior pharmacy care business serving more than 800,000 patients per year.
Beyond that, CVS Heath also serves an estimated more than 37 million people through traditional, voluntary and consumer-directed health insurance products and related services.
“We’re giving our nurses more quality time to connect with members, listen to their concerns and help them navigate their health journeys,” said Dr. Ben Kornitzer, Aetna’s Chief Medical Officer. “This could be a cancer patient, or a member recently diagnosed with heart disease, and that extra time in one-on-one conversations not only improves physical health outcomes but also supports our member’s mental well-being.”