AI for Health Plans
Instant Answers with Genie AI
Ask any Medicare Advantage question, from Enrollment trends to benefit/plan comparisons and get plain-English, role-aware answers in seconds.
Ask any Medicare Advantage question, from Enrollment trends to benefit/plan comparisons and get plain-English, role-aware answers in seconds.
We transform CMS releases into predictive insights like *Top winners vs. losers, *SNP shifts, *Top geographies, *SAE/SAR up to 15X faster than industry norms.
Compare Medicare Advantage plans at the EOC/PBP level to uncover benefit changes, cost-sharing shifts, and local enrollment drivers, fast.
✅ EOC parsing at scale
✅ Benefit sensitivity modeling
✅ County-level enrollment insights
See where competitor plans are gaining or losing ground, spot market shifts early, and make faster decisions on where to Grow • Hold • Exit
✅ Early warning on competitor moves
✅ Market growth & risk scoring
✅ Faster strategic pivots
✅ Compare networks instantly
✅ Spot ghost providers
✅ Simulate scenarios to strengthen adequacy
✅ Improve member experience
Leverage our AI-powered platform to transform complex healthcare data into innovative Product and Market Intelligence solutions, driving better outcomes and profitable growth.
MarketIntel+™ provides quick and efficient access to complex national level Medicare Advantage market data & analytics in an easy to understand and appealing visual format.
ProductIntel™ is designed specifically for Medicare Advantage product design teams, providing key analytics for bid development and product lifecycle management.
With NetworkIntel™, you can quickly analyze the competitiveness of each Provider Network in the market, compare composition down to the NPI, and increase the marketability of your networks.
xAI is the explainable intelligence engine behind our suite, turning Medicare data into transparent forecasts & scenarios (enrollment prediction, benefit sensitivity, market simulations) with back-tested 91.2% forecast accuracy & audit-ready reasoning.
GenieAI™ is a secure, conversational assistant across our platform—ask in plain English to compare plans, surface competitive changes, and export evidence packs. No SQL or spreadsheets required.
Our AI-powered Medicare Advantage platform transforms complex Medicare data into actionable insights, empowering plans to achieve profitable growth and deliver better outcomes for millions of beneficiaries.
In the highly competitive market of Medicare Advantage, every strategic decision requires fast and efficient access to complex data, accurate predictions, and a reliable single source-of-truth for critical analytics. Disruption in any one of those requirements can have a devastating, long-term impact on an organizations ability to compete and acquire market share.
HealthWorksAI provides Health Plans with solutions that deliver crucial data & advanced analytics at the Speed of Business. With years of national level market data, advanced analytics modeling, and proprietary simulators accessible with a single click, we provide a true Gift of Time and allow organizations to focus on the important strategic decisions instead of cumbersome data processes.
Director, Medicare Product Development - AEP planning & benchmark selection
“We are re-evaluating who we benchmark against and using Plan Comparison to quickly compare competitor benefits.”
ProductIntel™ - Plan Comparison
Medicare Advantage & SNP Leader - side-by-side views for rapid competitive readouts
“The competitor analysis is flexible, swap tabs, create unique views, and get a handy snapshot fast.”
MarketIntel™ - Competitor Analysis
Senior Director, Medicare Product Operations - leadership view & scoring transparency
“The executive dashboard surfaced the attributes our project needed. I’m interested in how the scoring’s determined so we can use it to guide decisions.”
xAI - Executive Dashboard
Provider Network Management Leader
“Most accurate and comprehensive competitive intelligence we reviewed. We’re benchmarking at the group level and mapping group hierarchies to contract and credential correctly.”
NetworkIntel™ - Network Benchmarking
Staff VP, Medicare Growth
“I’ve used the platform before—it answered tough questions, fueled presentations, and informed strategic decisions.”
Cross-Suite (Platform Value)
Our Medicare Advantage Market experts would love to show you how HealthWorksAI products can optimise your MA strategy.
