Ushur for Commercial Health Plans
Better Digital Experiences Built for Commercial Health Plans
Cut operational costs, boost quality scores, and guide members toward better outcomes—while elevating the experience for employers and employees.
Solving Commercial Health Plans’ Most Persistent Pain Points
Engage & Retain Members
Deliver HIPAA-compliant digital messaging, proactive reminders, and 24x7 AI-powered self-service that resolve coverage questions and tasks with minimal effort.
Improve Outcomes
Close care gaps, prevent high-cost events, and guide members to smarter utilization.
Reduce Operational Costs
Automate high-volume interactions to reduce call center burden, maintain compliance, and realize value within weeks with pre-built solutions.
Pre-built, Agentic AI solutions for Commercial Health Plans
Population Health & Wellness
Pushes HRA, SDoH & preventive-care nudges that lift HEDIS and Star measures.
Member Service
Virtual agent delivers instant answers and automating top asks, cutting call volume.
Maternal & Newborn Health
Digital navigation reduces pre-term births and NICU admits.
Quoting & RFP Intake
AI extracts census & benefits data, accelerating accurate group quotes.
Medication Adherence
Smart refill reminders and barrier triage raise adherence, cut complications.
Chronic Conditions
Proactive digital coaching curbs ER visits for diabetes, hypertension, cardiac & MSK.
Warm Welcome
Digital onboarding builds trust and drives early engagement.
Care Gap Closure
Smart nudges close care gaps and boost quality scores.
How Ushur delivers ROI
Trust Built-In
Rest assured the proper protocols are in place to keep every interaction compliant and secure.
Trusted by leading health plans
Cigna Customers Achieve Faster Claim Resolution with Real-Time Status Updates
- Delivered real-time claim status updates
- Reduced claim status inquiries by 40–50%, reducing call center burden
- Improved NPS scores and customer satisfaction
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Medicaid and Medicare Health Plan Leverages Ushur’s AI Agent
- Automate 21% of top call drivers like ID card replacements, benefits explanations & PCP updates
- Handle 18%+ of web traffic with self-service
- Deliver 24/7 support without increasing costs
Accelerating HRA Completion & Care Gap Closure with Ushur
- Boosted HRA completions for CMS compliance
- AI-outreach via Ushur Invisible App for HIPAA-secure two-way engagements
- Predictive analytics guided smart outreach
- 25% completion rate of HRAs within the first 90 days
- 740% increase in email follow-ups
- Closed care gaps, improving STARS ratings and HEDIS scores
Driving HRA Completion in California’s D-SNP Population
- 23.92% HRA completion rate in D-SNP population
- Higher engagement vs. previous methods
- HIPAA-compliant digital self-service
- Deployed in just 3 days
