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2/4/2025

Precision Care Matching: Revolutionizing Healthcare Navigation with PatientGenie

In today’s complex healthcare landscape, health plans and their members face significant challenges in accessing the right care at the right time. Mismatched care can lead to delays, dissatisfaction, and higher costs for both patients and healthcare providers. PatientGenie addresses this challenge with a groundbreaking approach: Precision Care Matching. By leveraging advanced AI and patented proprietary technologies, PatientGenie empowers health plans to optimize care navigation for their members and ensures they receive timely, appropriate care.

What Is Precision Care Matching?

Precision Care Matching is PatientGenie’s AI-driven solution designed to enable health plans to provide exceptional care navigation for their members. It ensures patients are matched with the most suitable care options based on their unique needs, preferences, and circumstances. This innovative system combines:

  1. Data-Driven Insights: PatientGenie uses advanced algorithms to analyze patient preferences, visit needs, and in-depth data on providers, including their quality scores, effectiveness and efficiency, outcomes, mortality rates, and more, to ensure highly accurate matches.
  2. Care Modality Awareness: The system factors in members’ preferences for in-person, virtual, or hybrid care delivery modes to tailor recommendations.
  3. Top-of-License Matching: Providers are selected based on their licensure and expertise, ensuring patients receive care that aligns with the provider’s highest qualifications.
  4. Personalized Scheduling: Once matched, members can seamlessly schedule appointments through PatientGenie’s Scheduling AI Agent, completing the journey from discovery to action.

Why Precision Matters

Precision is more than a buzzword; it’s a necessity in healthcare. Here’s how Precision Care Matching delivers unparalleled value for health plans and their members:

  • Improved Member Outcomes: Matching members with the right providers minimizes the risk of misdiagnoses and ensures timely interventions.
  • Enhanced Member Experience: Personalized care recommendations foster trust and satisfaction, making healthcare navigation less stressful.
  • Operational Efficiency for Health Plans: Health plans benefit from optimized resource allocation and reduced administrative burdens.
  • Cost Reduction: By eliminating unnecessary referrals and improving care alignment, Precision Care Matching helps control healthcare costs.

Revolutionizing Healthcare Scheduling with GenAI

The beauty of PatientGenie’s technology lies in its ability to cater to all sides of the healthcare spectrum:

  • For members: It’s about removing barriers — making scheduling as easy as sending a text or having a quick conversation with our GenAI-powered voice agents. No stress, no confusion, just seamless access to care.
  • For providers: It’s about enabling this convenience while respecting their existing workflows. PatientGenie integrates effortlessly, ensuring providers maintain control over their schedules without disruption.
  • For health plans: It’s about driving better outcomes and improving operational efficiency. By facilitating timely, appropriate care, PatientGenie helps health plans increase member satisfaction, reduce administrative burdens, and enhance overall care coordination.

We believe that timely, appropriate care starts with accessible scheduling for everyone involved in the process.

The Technology Behind Precision Care Matching

PatientGenie’s Precision Care Matching system is built on:

  • GenAI-Powered Intelligence: Harnessing state-of-the-art AI for natural language processing and decision-making.
  • Knowledge Base Integration: Dynamic updates from health plans, provider networks, and care guidelines ensure that recommendations are accurate and up-to-date.
  • Customizable AI Navigation Agents: Tailored to the needs of health plans and systems, these agents enable flexibility and scalability.

Real-World Applications

Health plans partnering with PatientGenie can use Precision Care Matching to:

  • Guide members to appropriate in-network providers.
  • Facilitate transitions of care for complex cases.
  • Support population health initiatives by proactively identifying members in need of specific care interventions.
  • Offer seamless care navigation through direct-to-consumer health content platforms.

The Future of Healthcare Navigation

By bridging gaps in healthcare navigation, PatientGenie empowers members to take charge of their health while enabling health plans and providers to deliver more effective and efficient care.

With Precision Care Matching, PatientGenie is not just navigating the future of healthcare — it’s shaping it. Join us in transforming access to care, one member at a time.

We help make timely appropriate care happen.

By Alex Zoller | CEO @ PatientGenie

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