Skypoint AI agents help payers automate authorizations, close care gaps, improve quality scores, and reduce costs across value-based care programs.
At Skypoint, every AI agent is purpose-built to help healthcare organizations deliver more empathetic, timely, and efficient care. For payers, this means equipping care teams, analysts, and administrators with AI-powered tools that simplify complex processes—like prior authorizations, quality reporting, and risk adjustment—so they can focus less on operational burden and more on improving outcomes.
Skypoint’s platform brings together all your healthcare data—claims, clinical, pharmacy, SDOH—and activates it through an ecosystem of intelligent agents. These agents automate repetitive work, surface insights instantly, and close care gaps across populations. The result: higher quality scores, better engagement, reduced costs, and more time spent delivering value, not chasing data.
Enables teams to ask questions in natural language and get instant answers from unified data, policies, and documents—no analysts needed.
Improves coding accuracy and documentation to ensure proper risk scoring and optimized revenue under value-based care models.
Monitors and improves STAR ratings, HEDIS, and ACO metrics—automating compliance tracking and driving quality performance.
Automates prior auth workflows, predicts approval likelihood, and accelerates payer-provider collaboration to reduce delays in care.
Identifies and closes open care gaps across populations to improve member outcomes and contractual performance.
Personalizes outreach based on demographics, claims, and past interactions to drive preventive care and satisfaction.
Analyzes spend patterns, utilization trends, and care episodes to uncover high-cost drivers and optimize total cost of care.
Improves care team efficiency by aligning staffing and services to member risk, utilization, and predicted needs.
Predicts outcomes for member cohorts using historical and real-time data to guide care strategy and benefits design.
AI agents purpose-built for payers to automate workflows, reduce costs, close care gaps, and improve outcomes across Medicare Advantage, ACOs, and value-based care.
