{"id":212,"date":"2025-11-12T16:39:23","date_gmt":"2025-11-12T16:39:23","guid":{"rendered":"https:\/\/helpaisolutions.com\/?page_id=212"},"modified":"2026-04-02T18:51:28","modified_gmt":"2026-04-02T18:51:28","slug":"payers-and-providers","status":"publish","type":"page","link":"https:\/\/helpaisolutions.com\/?page_id=212","title":{"rendered":"Payers and Providers"},"content":{"rendered":"

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Payers & TPAs<\/h1>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_3″ _builder_version=”4.19.2″ _module_preset=”default” global_colors_info=”{}”][et_pb_image src=”https:\/\/helpaisolutions.com\/wp-content\/uploads\/2025\/11\/brain-1.png” title_text=”brain” _builder_version=”4.19.5″ _module_preset=”default” custom_margin=”-50%|-60%||-10%|false|false” custom_margin_tablet=”0%|0%||0%|false|false” custom_margin_phone=”0%|0%||0%|false|false” custom_margin_last_edited=”on|tablet” scroll_vertical_motion=”0|50|50|100|-1|0|1″ scroll_scaling=”0|50|50|100|100%|100|70%” locked=”off” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”Features” _builder_version=”4.19.5″ _module_preset=”default” background_color=”gcid-1bcf785a-50e1-437b-b09f-65567babc1de” custom_padding=”||5px|||” collapsed=”on” global_colors_info=”{%22gcid-1bcf785a-50e1-437b-b09f-65567babc1de%22:%91%22background_color%22%93}”][et_pb_row _builder_version=”4.19.2″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.19.2″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.27.0″ _module_preset=”c15ca7fc-76d2-4e2c-bb24-9192e32063a0″ text_orientation=”center” global_colors_info=”{}”]<\/p>\n

AI That Lowers Surgical Spend\u2014Reliably and at Scale<\/h2>\n

[\/et_pb_text][et_pb_heading title=”HelpAI standardizes pre-op evaluation and optimization to reduce cost per case and align with value-based models.” _builder_version=”4.27.0″ _module_preset=”default” title_font=”||on||||||” title_text_align=”center” title_text_color=”#FFFFFF” global_colors_info=”{}”][\/et_pb_heading][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_3,1_3,1_3″ _builder_version=”4.19.2″ _module_preset=”default” locked=”off” global_colors_info=”{}”][et_pb_column type=”1_3″ _builder_version=”4.19.2″ _module_preset=”default” custom_padding_tablet=”||30px||false|false” custom_padding_phone=”||30px||false|false” custom_padding_last_edited=”on|tablet” global_colors_info=”{}”][et_pb_image src=”https:\/\/helpaisolutions.com\/wp-content\/uploads\/2025\/11\/ai-icon-01.png” title_text=”ai-icon-01″ align=”center” _builder_version=”4.19.2″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_image][et_pb_text _builder_version=”4.27.0″ _module_preset=”68fda2ce-e51f-4434-8b50-6078217ff636″ text_orientation=”center” custom_margin=”||0px||false|false” global_colors_info=”{}”]<\/p>\n

Challenge:<\/h3>\n

[\/et_pb_text][et_pb_text _builder_version=”4.27.0″ _module_preset=”8c728ed4-fa75-4dca-b6a0-3d366154e73a” text_orientation=”center” global_colors_info=”{}”]<\/p>\n

Surgical care drives nearly half of total medical spend. Yet payers struggle to influence these costs without burdening providers or disrupting member care.<\/p>\n

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Solution:<\/h3>\n

[\/et_pb_text][et_pb_text _builder_version=”4.27.0″ _module_preset=”8c728ed4-fa75-4dca-b6a0-3d366154e73a” text_orientation=”center” global_colors_info=”{}”]<\/p>\n

HelpAI\u2019s Surgical Population Management platform uses AI to evaluate risk, select the right site of service, and plan optimization steps before surgery. Through Pluto Health\u2019s interoperability network, it connects payer and provider data for real-time insight.<\/p>\n

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Impact:<\/h3>\n

[\/et_pb_text][et_pb_text _builder_version=”4.27.0″ _module_preset=”8c728ed4-fa75-4dca-b6a0-3d366154e73a” text_orientation=”center” global_colors_info=”{}”]<\/p>\n

Average savings of $2,500\u2013$3,000 per procedure, driven by fewer unnecessary tests, avoidable admissions, and inefficient settings of care\u2014all without added administrative load.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”About” _builder_version=”4.19.5″ _module_preset=”default” background_color=”gcid-1bcf785a-50e1-437b-b09f-65567babc1de” custom_padding=”23px|||||” locked=”off” collapsed=”on” global_colors_info=”{%22gcid-1bcf785a-50e1-437b-b09f-65567babc1de%22:%91%22background_color%22,%22background_color%22,%22background_color%22%93}”][et_pb_row column_structure=”1_2,1_2″ _builder_version=”4.19.5″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.19.5″ _module_preset=”default” custom_padding=”12%||||false|false” custom_padding_tablet=”0%||||false|false” custom_padding_phone=”0vw||||false|false” custom_padding_last_edited=”on|desktop” global_colors_info=”{}”][et_pb_text _builder_version=”4.27.0″ _module_preset=”c15ca7fc-76d2-4e2c-bb24-9192e32063a0″ custom_margin=”||10px||false|false” global_colors_info=”{}”]<\/p>\n

Call to Action:<\/h2>\n

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Add AI to your surgical cost-containment strategy.<\/p>\n

\u2192 Partner with HelpAI for a pilot program.<\/p>\n

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AI-Driven Surgical Population Management<\/h2>\n

[\/et_pb_text][et_pb_button button_url=”@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9hdHRhY2htZW50Iiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjIwMiJ9fQ==@” button_text=”help ai – chat demo” button_alignment=”center” _builder_version=”4.27.0″ _dynamic_attributes=”button_url” _module_preset=”1e587edf-fc0f-4f1e-9cbd-dc34e820a6e2″ global_colors_info=”{}”][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

Payers & TPAsAI That Lowers Surgical Spend\u2014Reliably and at ScaleChallenge: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\u2019s Surgical Population Management platform uses AI to evaluate risk, select the right site of service, and plan optimization steps before surgery. Through Pluto […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-212","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/helpaisolutions.com\/index.php?rest_route=\/wp\/v2\/pages\/212","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/helpaisolutions.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/helpaisolutions.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/helpaisolutions.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/helpaisolutions.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=212"}],"version-history":[{"count":3,"href":"https:\/\/helpaisolutions.com\/index.php?rest_route=\/wp\/v2\/pages\/212\/revisions"}],"predecessor-version":[{"id":243,"href":"https:\/\/helpaisolutions.com\/index.php?rest_route=\/wp\/v2\/pages\/212\/revisions\/243"}],"wp:attachment":[{"href":"https:\/\/helpaisolutions.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=212"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}