Payers & TPAs

AI That Lowers Surgical Spend—Reliably and at Scale

HelpAI standardizes pre-op evaluation and optimization to reduce cost per case and align with value-based models.

Challenge:

Surgical care drives nearly half of total medical spend. Yet payers struggle to influence these costs without burdening providers or disrupting member care.

Solution:

HelpAI’s Surgical Population Management platform uses AI to evaluate risk, select the right site of service, and plan optimization steps before surgery. Through Pluto Health’s interoperability network, it connects payer and provider data for real-time insight.

Impact:

Average savings of $2,500–$3,000 per procedure, driven by fewer unnecessary tests, avoidable admissions, and inefficient settings of care—all without added administrative load.

Call to Action:

Add AI to your surgical cost-containment strategy.

→ Partner with HelpAI for a pilot program.

AI-Driven Surgical Population Management
In partnership with Pluto Health