The healthcare ecosystem, aided by the advancing technology, is moving towards patient-centricity. In the haste to do so, payers are looking to identify workflows and processes that can be intelligently automated - to aid in optimization and to reduce wastage of time and resources.

Smart technologies like AI have the potential to revitalize PHM efforts for plans while ensuring compliance. We at Nalashaa have been in the healthcare IT landscape and know what you need to do so.

Are You Facing These Challenges Too?

As a payer organization in the current business ecosystem, you are bound to have come across one or more of these challenges across the following areas.

Data Management and Analysis

Population Stratification | FWA | Network leakage

Alignment with Compliance Measures

HEDIS | STAR ratings


Members | Providers | Family | Social Workers

Preventive and Proactive Healthcare

Care plan adherence | Wellness |Regimen Mgmt.

Linear Revenue/Cost association

Claims management | Customer Service | Contracting

Challenges for Healthcare Providers

Artificial Intelligence in Health Plan

While possibilities and specificity may vary with your context, below is a starter’s kit.

Fraud Detection in
Claim Requests

Intelligent Claim

Predictive System

Reduce Network

Identify opportunities
for CDI

Chronic Illness Risk Assessment

Avoid Re-admissions

Smart Symptom Checker

Proactive and Preventive Care

Personalized Digital Marketing

24x7 Support Bots

Intelligent Appointment Scheduling (IAS)

Smarter Reimbursement Contracts

Routine Provider Credentialing

AI assisted Provider Education

Remote Interventions

STAR Rating

Clinical Rating

Quality measures

Customer Satisfaction Measure

Be the Captain of Your Success

Optimize your healthcare operations in line with the necessary KPIs with supervised and un-supervised ML algorithms.

Reduce Turn Around Time

Improve ROI

Better Member Response

Reduced Member Churn

Refined Provider Performance

Up-to date with Compliance

Seamless Transition of Care

Smooth Contract Negotiations

Challenges for Healthcare Providers

Partner With Us

At Nalashaa we have the best in Healthcare IT helping you navigate through the trenches of the vast and confusing healthcare ecosystem.

Assess business to set realistic goals

Identifying workflows that need AI solutions

Measure and track necessary KPIs

Experts in healthcare product development

Experience Optimized Success with AI Solutions

Experience Optimized

Success with AI Solutions

Let us Help Build Customized AI Solutions
to Unleash Your Data and Advance
Patient-centric Healthcare

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