Health Plan 365

AI agents and a unified command center to automate utilization management, enhance member experience, close care gaps, boost quality, and optimize financial outcomes.

Who We Work With:

Medicare Advantage Plans
Value-Based Care Partnerships
Employer-Sponsored Plans

Medicare Advantage Plans
Value-Based Care Partnerships
Employer-Sponsored Plans

Trusted by leading regional health plans

Proven Business Impact

Proven results across diverse health plans, streamlining operations, enhancing outcomes, and driving measurable revenue gains.

reduction in administrative costs

10-15

improvement in member satisfaction scores

Reduction in MLR within the first year

How Skypoint Works

Unify systems. Predict problems. Automate workflows. Better financial outcomes.

skyStudio™️ brings together data from 250+ EHRs, claims, and applications into health plan data models. At its core is the AI engine, where a team of AI agents work together to power applications and deliver proactive intelligence. Already have a data warehouse or BI solution? Skypoint integrates seamlessly with it.

skyCommand™️ is your AI agents hub, monitoring 350+ KPIs across all your locations. It automates workflows from data to insights, predictions, and actions, resolving simple issues instantly while escalating critical ones. Leaders receive daily briefings, proactive alerts, and actions, ensuring real-time visibility and control.

skyCare™️ is your point of care AI assistant that overlays any EHR. Powered by UDP, it provides real time insights, predictions, and actions by surfacing clinical risks, compliance gaps, care gaps, payer requirements, and opportunities to improve outcomes so providers can focus on care.

Enables teams to ask questions in natural language and get instant answers from unified data, policies, and documents – no analysts needed.

AI agents embedded in every application that execute tasks, trigger workflows, and complete work your team used to do manually.

AI-driven match, merge, dedupe, and real-time resident 360° data.

Human-like AI that manages inbound and outbound calls instantly.

Analyzes spend patterns, utilization trends, and care episodes to uncover high-cost drivers and optimize total cost of care.

Automated referral intake, scoring, eligibility checks, and reimbursement optimization for SNFs.

eSignature and agreement workflow management for healthcare and senior living.

AI-powered ticketing, staff service and helpdesk automation.

Automated recruiting, hiring and applicant tracking system.

AI-powered scheduling and labor cost optimization.

Build custom agentic applications with your favorite AI coding tool and deploy it in our secure cloud environment.

Converts visitors to appointments via AI chat, forms, SMS, phone and email. Includes staff training, coaching and human-in-the-loop support.

Automates SEO, AEO and reputation management with intelligent review generation, aggregation, responses and patient surveys.

Real-time clinical, financial and operational reports and dashboards integrated seamlessly into any BI tools or applications.

Automates and tracks prior authorizations for faster patient access and reduced administrative burden.

AI automation for RFP workflows used by health plans.

Automates referral tracking with timely follow-up to reduce patient leakage and improve care coordination across all providers.

AI-powered background checks, credentialing and license monitoring.

AI-powered learning that develops your workforce, ensures regulatory compliance, and accelerates onboarding — purpose-built for healthcare and beyond.

AI Agents That
Integrate With Your Existing Systems

Outcome Forecasting

Predicts outcomes for member cohorts using historical and real-time data to guide care strategy and benefits design.

Integrated to 250+ enterprise applications and data sources

SkyCommand™️: Your AI-Powered Command Center

From 350+ KPIs to predictive insights, alerts, actions, and automation.

Forward Deployed Engineering: Your Team, Scaled

Skypoint’s FDE model places our engineers in the room with your clinicians, analysts, and administrators, solving your problems directly and delivering value within your existing workflows.

FDEs become an extension of your team, delivering new AI capabilities in weeks, not months.

Every two weeks, you get product updates tuned to your workflows — from prior authorization automation to population health analytics.

As regulations, payer requirements, and patient needs evolve, our engineers evolve your AI agents in real time.

FDEs build long-term relationships, aligning with your culture and compliance standards.

AI has enabled Livmor to level the playing field by digesting millions of Medicare data points and structuring them in record time. The Skypoint AI Platform has proven invaluable for solving these data challenges. Without the Skypoint AIP, Livmor would not exist.

With Skypoint AI, our business partners who have been involved are ecstatic about what’s available now, compared to what they couldn’t do before. It’s a success story that we can build on as we grow and expand into other areas.

Skypoint AI allows us to connect different data sources like Epic (Caboodle) and CEDR to generate real-time analytics. Now we can evaluate organizational and provider performance more effectively.

Case Studies

How an Emergency Services Provider Improved Data Visibility

Learn how Northwest Acute Care Specialists (NACS) used a data warehouse and Power BI to greatly improve data visibility and generate more actionable insights.

Simplifying Medicare Enrollment With the Skypoint AI Platform

Central City Concern: Building a Future-Ready Data Infrastructure with Skypoint

Central City Concern (CCC) is a nonprofit, Portland-based FQHC dedicated to providing comprehensive solutions for individuals experiencing homelessness, poverty, and addiction. With integrated services spanning housing, employment, and healthcare, CCC serves thousands of vulnerable individuals annually.

Your 24/7 AI Workforce for Health Plans

Unify. Predict. Automate. With Skypoint, every health plan runs stronger.

Industries We Serve

Industries We Serve

The Skypoint AI Platform

The Skypoint AI Platform

Data and AI Resources

Training and Events

Resources