Artificial intelligence (AI) has revamped everything from making to-do lists to crafting creative works, so why not health care too? According to a survey from Medtronic and Morning Consult, most people see the potential, with 56% believing AI can help break down health care barriers and improve care access and 62% sharing favorable opinions of AI-driven health apps.
And AI is proving its ability to enhance health care. Chatbots show promise to reduce loneliness by simulating human connection, while advanced systems and wearables improve access to and personalize interventions. AI tools make health care infinitely more accessible with 24/7 availability and multilingual support, and they reduce some of the cost barriers of human-provided services.
But remember: Automation isn’t enough on its own. The secret is to combine AI with human support to improve trust and turn members into active participants in their own health.
Discover how Pyx Health’s Continuous Activation Platform (CAP) balances the scales to amplify human compassion and drive genuine member activation.
Shifting from engagement to continuous activation
Activation builds trust among health plan members to drive action. It’s distinct from the superficial “engagement washing” that plans fall back on — such as generating robocalls or sending texts — offering continuous and meaningful engagement that has ripple effects. It:
- Encourages health-improving actions
- Solves unmet non-medical drivers of health (NMDOH) needs
- Extends care team impact
- Improves outcomes
What does Pyx Health’s CAP do?
Pyx Health launched its AI-powered CAP to enhance the way health plan members navigate care. CAP supports the most intense challenges — from food, housing, transportation and other NMDOH needs to uncertainty brought on by the One Big Beautiful Bill Act and the millions of Americans left without SNAP and Medicaid benefits.
We’ve engineered the platform and mobile app to extend the compassionate, human-centered experience our members know and love. CAP supports meaningful engagement by combining enhanced capabilities with an intuitive user experience, offering:
- Smart check-ins that feel like natural follow-ups
- Greater care coordinator engagement between touchpoints
- Recommendations for members to complete unfinished screenings
- Suggested actions based on screening results
The proprietary AI does what’s impossible for humans alone, working in real time to support members. Its sophisticated machine intelligence finds and guides members to resources that answer their NMDOH needs, such as accessing health program benefits and child care support and solving food insecurity.
The dual role of Pyx Health’s Continuous Activation Platform
Pyx Health’s CAP equips our team, plans and plan members with everything they need to achieve true activation. We make it easy to understand member needs and deploy effective interventions in real time.
What is the digital navigator?
Pyx Health’s digital navigator provides real-time, nonclinical support recommendations and directs members to resources inside CAP so members can help themselves.
The user-friendly tool employs unique AI agents for different jobs, such as conducting discovery to identify a member's specific needs and providing real-time resources in response. Agents guide each member through multiple-choice questions based on their previous input to connect members with what they need most.
The experience intentionally eliminates two-way chat to capture only relevant information and keep the AI on track, helping to:
- Ensure safety.
- Prevent AI drift.
- Maintain compliant support.
It uses a capability, opportunity, motivation engine to understand why members might struggle to use a service. The tool offers timely, relevant, and actionable resource recommendations to enhance support. This means the digital navigator:
- Focuses only on guiding members, not providing medical diagnosis or clinical advice
- Routes escalations to humans, transferring members to Pyx Health to chat with at any time during business hours
How does Pyx Health leverage workforce management tools?
Our team uses smart assistant technology inside the CAP suite as we work with your members, with AI that enables more complete support. From synthesizing and generating summaries from member conversations to analyzing conversation patterns and offering helpful prompts to enhance care, the smart assistant unlocks insights to:
- Identify NMDOH needs and coordinate logistics.
- Suggest resources (e.g., food banks or transportation).
- Field non-medical benefit questions during follow-ups.
Translation? CAP’s workforce management tools enhance Pyx Health staff behind the scenes. The smart assistant boosts efficiency by handling tedious tasks and suggesting relevant resources. It even uses a rubric to flag calls so we can easily ID members who need more attention.
Governance and safety
Activation requires trust — and it breaks if you don’t use AI technology the right way. According to a Deloitte survey, 80% of people want to know when their provider is using AI, while athenahealth found that 63% just want better oversight for the tech in general.
That’s why CAP keeps human intelligence, expertise, and empathy at the core. Translation? AI just supports human connection. Pyx Health maintains strict governance and safety standards for our AI, and users are always notified when they’re interacting with these tools.
How does Pyx Health approach AI governance?
Pyx Health’s governance framework ensures the safety, responsibility and trustworthiness of our AI-powered solutions as we continue to innovate. It’s spearheaded by a dedicated AI governance committee of senior leaders across the organization, from legal and IT to security and product teams.
Our governance approach is closely aligned with the NIST AI Risk Management Framework:
- Govern: Establish strong organizational oversight.
- Map: Identify and understand where risks might occur.
- Measure: Rigorously test the AI's behavior.
- Manage: Implement controls to reduce risks and continuously improve.
Are Pyx Health tools safe and secure?
Yes. All proprietary AI solutions are built in a 100% secure environment to protect your members. We never, ever use protected health information to train models, and AI tools are opt-in-only features that customers can turn on or off.
Make Pyx Health AI part of your solutions
As AI permeates health care, plans and their members need reassurance that the technology is safe and has the power to support their needs. Pyx Health answers with a resounding, “Yes!” with our Continuous Activation Platform as the latest evolution of our empathy-based technology.
CAP is a 360-degree solution. Plans enjoy its ability to close gaps and make quality improvements, while members feel confident that the technology can zero in on their true needs and offer real-time guidance.
Move from checking off boxes on your engagement checklist to consistent, meaningful member activation. CAP supercharges Pyx staff as they care for members while empowering those members to connect with resources to help themselves.
See it in action for yourself! Reach out today to discuss the possibilities for your plan.
