Change Healthcare unveils AI tool for dual Medicare-Medicaid enrollment

Julie Spitzer - Print  | 

Change Healthcare launched a tool Aug. 6 that combines artificial intelligence and behavioral science to help payers identify and enroll Medicare Advantage members who are eligible for both Medicare and Medicaid.

Using AI, the Dual Enrollment Advocate solution is 93 percent accurate in flagging individuals who qualify for full or partial dual eligibility. Change Healthcare member engagement teams will use the technology to support the company's health plan customers.

"We're applying data science, behavioral science and consumer-experience design to solve one of the trickiest problems for Medicare Advantage plans, which is how to accurately identify people for Medicaid eligibility," said Keith Roberts, vice president of engagement at Change Healthcare. "AI and machine learning can't do it alone. Behavioral science can't do it alone. And health plans and legacy systems can't do it alone. The time has come to bring these healthcare IT and scientific disciplines together to help solve a critical business challenge for our customers."

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