Rudy Lai
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卓
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rudyl.aiAI market researchALPHA

AI @ Elevance Health

Formerly Anthem, major insurer
Industry
Last updated
July 3, 2025 at 10:44 AM

Summary

  • Elevance Health has progressively integrated AI technologies from 2023 through 2025, expanding from diagnostic enhancements and AI-powered concierge care to generative AI applications for personalized healthcare and operational efficiencies.
  • Key initiatives include expanding AI-driven digital concierge care to 40,000 members by end-2023, generative AI for interpreting vast health data from Q1 2024, partnership with OpenAI to deepen AI investments by late 2025, and AI skill certifications offered to employees to boost internal fluency and career growth.
  • In 2025, Elevance is focusing on AI to streamline prior authorization, clinical decision-making via its Health OS platform, and personalized patient outreach, signifying a shift toward operational automation and improved consumer experience while actively addressing data governance and ethical considerations.

VIBE METER

More AI announcements = more VIBE
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6 AI Use Cases at Elevance Health

Personalized Outreach
2025
Customer Facing
Traditional
Generative
Agentic
Outcome
Using AI for targeted patient alerts and reminders via text, app, or email helps close care gaps and improve patient adherence and engagement. [1]
Claims Processing
2025
Traditional
Generative
Agentic
Outcome
Costs
AI-enhanced platforms unify and automate claims adjudication processes to improve accuracy and reduce turnaround times within Elevance’s Health OS platform. [1][2]
Workforce Training
2025
Traditional
Generative
Agentic
Outcome
Elevance offers AI fluency certification programs to employees, empowering workforce skill development in AI to drive innovation and career advancement. [1][2]
Operational Efficiency
2024
Traditional
Generative
Agentic
Outcome
Costs
AI is leveraged to improve call center efficiency, automate claims processing, and streamline prior authorizations, leading to reduced administrative burden and cost savings. [1][2]
Diagnostics Enhancement
2023
Customer Facing
Traditional
Generative
Agentic
Outcome
Elevance uses AI to detect early signs of diseases such as Alzheimer's and stroke by analyzing brain and cardiac data, improving early diagnosis and treatment planning. [1]
Concierge Care
2023
Customer Facing
Traditional
Generative
Agentic
Outcome
AI-powered digital concierge services streamline patient interactions and care management, offering personalized support to members to enhance accessibility and responsiveness. [1]

Timeline

2025 Q4

4 updates

Elevance deepens AI investments including partnership with OpenAI for behavioral health expansion, uses AI in Health OS platform to streamline prior authorizations, and adopts personalized patient outreach.

2025 Q3

3 updates

Elevance expands AI fluency programs for employees, develops AI-enhanced claims and workforce management, and emphasizes machine learning in product development.

2025 Q2: no updates

2025 Q1

1 updates

Elevance runs a technology-focused subsidiary using AI tools to help health plans control costs by scrutinizing claims and utilization.

2024 Q4: no updates

2024 Q3

2 updates

Elevance pursues AI use cases focused on reducing decision-making time; emergent case studies show AI improving healthcare delivery and outcomes.

2024 Q2

3 updates

Rachel Stuve discusses AI use from operational efficiencies to ethical concerns; Elevance embeds AI in consumer experience and operations functionalities.

2024 Q1

3 updates

Elevance applies generative AI to analyze consumer health data for personalized care, reduces roster processing times, and emphasizes digital health innovations.

2023 Q4

1 updates

Elevance partners with Epic to leverage AI reducing administrative burden and enhance patient experiences in collaboration with Qualtrics.

2023 Q3

2 updates

David Sims highlights hospital innovation and AI’s business role; Elevance uses AI to improve call center efficiency, access to whole health services, and connections.

2023 Q2

2 updates

Elevance expanded AI-powered digital concierge care to 40,000 members and leveraged AI for detecting brain changes in Alzheimer’s and stroke diagnostics.