Health Plans

Innovating Medicare Advantage plan design with AI

By Harbinder Raina, and Naoko Koen

June 19, 2024 | Webinar | 30-minute watch

Innovating Medicare Advantage plan design with AI

Higher-than-expected utilization and recent payment updates from CMS are just a few of the financial headwinds facing the Medicare Advantage market. To meet growth expectations and control costs, developing differentiated and financially viable Medicare Advantage products that drive increased enrollment and retention and better member outcomes will be increasingly important.


Generative and traditional AI capabilities have the potential to modernize plan design and aid health plans’ product portfolio optimization. In this webinar, we’ll look at use cases for leveraging AI to automate and accelerate each step of the plan design process. We’ll explore:

  • Using product design simulation to understand trade-offs between different benefit choices
  • Extracting competitive insights from dense documents using a real-time chat
  • Performing product strength analysis at a county level to understand competitive positioning and cascading insights to downstream stakeholders, including sales and marketing

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