Empower your business with AI-driven analytics to identify growth and cost-saving opportunities, enhance financial performance and make smarter decisions. Generate actionable insights to optimize healthcare operations and reduce Total Cost of Care (TCoC).
CGI’s Healthcare Insights Studio is a sophisticated extension of the CGI ProperPay solution. Using advanced data analytics and AI, the Studio empowers healthcare organizations to turn vast volumes of information into actionable intelligence across multiple key areas:
Leverage AI-enhanced analytics to identify enrollment trends, revenue opportunities, and executive KPIs, transforming raw data into strategic intelligence.
Harness machine learning algorithms to pinpoint outliers and potentially preventable events, such as ER visits and readmissions, delivering cost savings and better patient outcomes.
Use predictive analytics to forecast market share, refine pricing models, and uncover claim trends—empowering data-driven financial strategies.
Apply AI-driven insights to optimize PMPM results, calculate lifetime value, and boost membership conversion potential.
Employ advanced segmentation and modeling to create robust member profiles, enhance brand value, and proactively reduce voluntary churn.
Utilize intelligent network assessment to evaluate PCP network strength, target profitable contracting opportunities, and build in-depth provider profiles.
Access a library of pre-created multi-modal models and semantic layers, or utilize our natural language search on structured and unstructured data to create your own insights.
Access the library of pre-created models/semantic layers or utilize our natural language search on structured and unstructured data to create your own insights.
We designed our healthcare insights with strong transparency, governance, and privacy in mind. Backed by our robust Responsible AI Use Framework and thorough risk assessments, our healthcare insights align perfectly with regional legal standards and clients’ unique ethical values.
As part of the responsible use of AI, we’ve built a feature for AVA to learn continually through human feedback. During the implementation phase, SME feedback on AI action/decision finetunes the model for strategic outcomes.
To enhance overall organizational performance, we aim to maximize member retention and expand market share while increasing payment integrity savings. Additionally, we are focused on improving the total cost of care, reducing emergency room visits and readmissions, and implementing robust staffing models to ensure efficient operations.
Connect with our team to learn how we support the payer industry, delivering the best complex-audit-review overturn rates in the market through our suite of innovative solutions and services.
