Company intelligence
HealthWorksAI
Transform Member Experience and Maximize ROI with Our Medicare Advantage Intelligence powered by xAI Technology! 🚀
About HealthWorksAI
Our mission is to use Explainable Artificial Intelligence (xAI) to revolutionize the healthcare industry by increasing transparency, fairness, and trust in the decision-making process. As a growth stage B2B SaaS company, we are dedicated to improving the quality of care for patients and reducing costs for both patients and insurers. Several leaders in the Medicare Advantage ecosystem trust HealthWorksAI products to drive strategic business decisions for benefit design, network design, and market expansion powered by xAI. By analyzing large datasets, we identify the most cost-effective healthcare plans for customers, ensuring that patients receive the care they need at a price they can afford. We also use XAI to identify and mitigate bias in the design of healthcare plans, ensuring that our plans are fair and unbiased. Our commitment to transparency and fairness is what sets us apart. By providing clear explanations for our decisions and actions, we build trust with patients and insurers alike. Ultimately, our goal is to help insurers offer the best possible care to their customers, improving the overall health and well-being of communities around the world.
Verified activity
Signals from HealthWorksAI
6 published signals
Research & Knowledge
HealthWorksAI published a new analysis of 605 Florida Medicare Advantage plans showing that enrollment in 4+/4.5-Star plans has nearly tripled since 2024.
Reported by Jim Politte
Research & Knowledge
HealthWorksAI conducted an analysis of selected competing MA plan networks, including Presbyterian’s PCP overlap with UnitedHealth, BCBS-NM/HCSC, and CVS/Aetna.
Reported by Jim Politte
Presence & Recognition
HealthWorksAI participated in an AEP webinar where Matt Feret emphasized building a cross-functional team before AEP starts to address questions like sales, membership mix, competitor moves, network support, and commissions or marketing.
Reported by Peter Rodes
Research & Knowledge
HealthWorksAI reports that Health Care Benefits adjusted operating income nearly doubled year over year in Q2.
Reported by Jim Politte
Research & Knowledge
HealthWorksAI reports that CVS tightened full-year MBR guidance from 90.5% ± 50 bps to 89.75% ± 25 bps in Q2.
Reported by Jim Politte
Research & Knowledge
HealthWorksAI reports that Aetna's medical benefit ratio improved from 89.9% to 87.4% in Q2.
Reported by Jim Politte