Ushur, the leader in AI-powered Customer Experience Automation (CXA), has launched new AI-powered digital self-service solutions addressing the significant challenges health plans and third-party administrators (TPAs) face in supporting members with complex care navigation needs.
The new product line includes Care Navigation for Maternal and New Baby Health, which supports expectant and new mothers through prenatal and postpartum care, and Care Navigation for Chronic Conditions, aimed at guiding members with chronic ailments such as diabetes and musculoskeletal issues to the right resources.
These solutions use pre-built digital experience templates with advanced task and process automations, leveraging purpose-built artificial intelligence to engage members effectively.
They are designed to improve member engagement and streamline processes in education, outreach, coordination, and management.
Ushur’s solutions have been field-tested by major health plans across the country, proving their effectiveness in enhancing care management through proactive guidance, feedback collection, resource coordination, and automatic document processing.
The Ushur CXA platform ensures enterprise-class security and operational efficiency with HIPAA-secure and HITRUST-certified channels.
Ushur global head of industries Yvonne Daugherty said, “The U.S. healthcare system remains incredibly hard to navigate. Payers and members alike pay significantly higher costs when appropriate care and resources aren’t understood and utilised timely, especially in complex care situations.
“The National Institute of Health (NIH) estimates that failures in care coordination account for nearly $80bn in costs per year. Ushur launched these care navigation automation solutions to help drive dramatically better member experiences while delivering significant cost savings not only for the health payers but for the entire national healthcare system. Our vision is to continue to alleviate pressures on an overstretched national healthcare system while enabling payers and providers to deliver transformative experiences for their members, especially those in critical health situations,” she continued.
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