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GUIDE FOR HEALTH PLANS

Smarter search to help members navigate

Move beyond passive directories with a modern, AI-powered care guidance experience. Empower your members to find, evaluate and make more confident decisions about their care with proactive guidance.

Guide - man on phone

The modern member experience demands a more robust experience

Controlling costs is a top priority, but members often choose expensive, out-of-network care. Without intelligent guidance, you’re left with ballooning costs and a disjointed member experience.

Passive provider search directories aren’t keeping up with member expectations, putting additional pressure on administrative teams. Modern members expect a digital-first, personalized experience.

Health plans that don’t innovate their digital experience risk falling behind new market entrants and losing member loyalty. In an increasingly competitive market, a superior member experience is your key differentiator.
conversational AI for health plans

SMARTER DIGITAL EXPERIENCE

Improve the member experience with intelligent and interactive care navigation

Kyruus Health Guide revolutionizes the traditional provider search, delivering intuitive care guidance and a transformed member experience. Powered by advanced AI and multifactorial learn-to-rank models, members are intelligently guided to comprehensive care options, supplemental programs, and clinical education while surfacing gaps in care. This personalized experience empowers confident, informed decisions, leading to improved health outcomes and a protected bottom line.

Elevate care access with a smarter more actionable path to the right care

Attract new employer groups

by providing a differentiated and modernized digital care access experience.

Guide members to better results

by surfacing the most relevant, high-value, and click-to-schedule care options through advanced ranking models.

Improve health outcomes

with a proactive health experience that helps address care gaps and encourages preventive services.

Boost member satisfaction

with a personalized hub that centralizes next best actions and each member's dedicated care team.

Expand care options

by integrating and promoting a full suite of benefits, including supplemental care programs and relevant clinical education.

All-in-one experience to engage members

Cost

Support decision making with procedure-level cost estimates across health care networks.

Provider Data Solutions

Ingest, optimize, and administer provider data to deliver accurate and robust provider profiles with embedded real-time scheduling.

Over 500M+ member searches conducted.

Ranked the #1 consumer-rated 3rd party experience in member portals.

90% of click-to-schedule appointments within Health Plan sites are for new patients

Built on the foundation of accurate provider data

Kyruus Health Guide revolutionizes the traditional provider search, delivering intuitive care guidance and a transformed member experience. Powered by advanced AI and multifactorial learn-to-rank models, members are intelligently guided to comprehensive care options, supplemental programs, and clinical education while surfacing gaps in care. This personalized experience empowers confident, informed decisions, leading to improved health outcomes and a protected bottom line.

FAQs

What is a conversational AI search experience for members?

Members searching for care can engage with a user-friendly and interactive, chat-like experience that helps them find providers more efficiently. Conversational search experiences leverage natural language processing (NLP) and large language models (LLMs) allowing them to search using everyday language or clinical/medical terminology.

How does conversational AI for health plans improve the member experience?

Members can use simple, everyday language to describe what they need—allowing them to search and find care faster. The NLP understands and translates words (OBGYN) into clear “intent” (ie. Specialty: Obstetrics & Gynecology), providing more relevant results. This accelerates the access to care and boosts member satisfaction.

How does care navigation help drive member engagement?

Members need help in finding care, providing care navigation the foundation of driving engagement. When members have a positive, successful first interaction with the plan’s digital tools, they are more likely to return to address other needs. This builds trust and keeps them engaged with the health plan.

Why is conversational AI important for the future of health plans?

Member needs are evolving, care is becoming more complex, and members expect more robust digital experiences. Conversational AI can help address these expectations, making healthcare navigation simpler, faster, and more personalized. Adopting conversational AIis a key way to showcase innovation, appeal to a new generation of members, and create a sustainable digital advantage.

How is conversational search different from a chatbot?

Chatbots are typically very broad and may help members navigate all aspects of information they may find on your health plan website. Conversational search is more specifically focused on the find-care experience—guidingmembers to care, matching the best, most appropriate providers and care recommendations based on their needs.

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