Overview: Included Health’s New AI Platform Launch

Included Health, a well-known healthcare navigation and care coordination company, has unveiled a new AI-enriched platform which is aimed at helping the members deal with the healthcare system more easily. The newly launched solution, Dot, combines AI with human-like interactions and comes along with continuous, custom user support as a major benefit. The combination of AI and humans is expected to lead to better healthcare navigation, cost savings, and overall care betterment.

What Is Dot? Intelligent Support With Human Oversight

Dot is a virtual assistant powered by artificial intelligence and is intended to be integrated deeply into Included Health's already existing platform. Generically speaking, Dot is not like the chatbot tools, rather, it according to the needs and conditions of the member, it has the ability to give recommendations based on a wide variety of personalized data, which includes:

- Medical records

- Claims information

- Benefits coverage

- Utilization trends

- Social and behavioral factors

This personalized data makes Dot able to provide guidance that is specific to the member's health needs and situation. Dot is a user's sole source for accessing care options, comprehending coverage, managing costs, and receiving support all through the care journey.

One of the main design features of Dot is the clinician-in-the-loop architecture. This means that an AI is taking care of many tasks but at the same time there are trained clinicians to supervise, escalate, and provide clinical decision support. Thus, when it comes to complicated or sensitive cases, appropriate human intervention is automatically given.

Real-World Deployment and Data Use

In the past year, Included Health has improved Dot's functions for major U.S. employers. Throughout this time, the system handled over 10 billion AI tokens, which is a sign of significant practical use and testing prior to its wider availability.

Connection with member-specific information enables Dot to develop unique advice and treatment plans. Dot can assist with many activities, such as appointment scheduling, answering benefit questions, or providing support for chronic condition management. The assistance provided to members is not limited to clinical matters; they also receive help with administrative and financial issues that are related to care.

Benefits for Members and Health Plans

According to health authorities, Dot is not just a digital assistant but also a key element in a larger plan to increase the trust in healthcare, improve the outcomes, and eliminate the inefficiencies in the system. The Chief Operating Officer, Nupur Srivastava, highlighted that Dot's application of deep member-specific data is what makes it different from other AI tools that only provide generic recommendations.

Included Health has plans to offer even more advanced features for Dot. Here are some of the near-future use cases:

- Suggesting preventive health screenings

- Encouraging adherence to care plans

- Providing programs such as Healthy Days

- Assisting members with the management of chronic diseases

These additions are mainly focused on the ultimate goal of facilitating healthier lives and bringing down expenses for both the employers and health insurers.