Rudy Lai
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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 into healthcare delivery, membership engagement, and operational efficiency from 2023 through 2025, expanding from AI-powered concierge care for 40,000 members in late 2023 to enterprise-wide AI certification programs for employees by mid-2025.
  • Key AI applications include diagnostic enhancement (Alzheimer's, stroke detection), call center efficiency, administrative burden reduction, data-driven personalized care, and claims processing optimization, with leadership figures like David Sims and Rachel Stuve guiding strategy and governance.
  • The company places significant focus on responsible AI adoption and data privacy, collaborating with partners like Epic and OpenAI, and hiring AI scientists aimed at developing proprietary machine learning solutions to improve healthcare outcomes and reduce costs.

VIBE METER

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

AI Training
2025
Traditional
Generative
Agentic
Outcome
Risk
Elevance Health develops internal AI fluency by offering formal certification programs to employees, ensuring workforce readiness for AI adoption and innovation. [1][2]
Personalized Care
2024
Customer Facing
Traditional
Generative
Agentic
Outcome
Generative AI models interpret vast health data to tailor individualized patient care plans and improve health outcomes at scale. [1]
Operational Efficiency
2024
Traditional
Generative
Agentic
Outcome
Costs
AI is applied to improve call center performance, streamline administrative workloads in partnership with Epic, and unify claims processing and workforce management to reduce operational costs and increase efficiency. [1][2][3]
Diagnostics Enhancement
2023
Customer Facing
Traditional
Generative
Agentic
Outcome
Elevance Health uses AI to analyze medical data such as brain imaging and heart electrical activity to detect diseases like Alzheimer's and stroke earlier and more accurately, improving clinical outcomes. [1]
Member Engagement
2023
Customer Facing
Traditional
Generative
Agentic
Outcome
The company expanded an AI-powered digital concierge care program delivering personalized virtual care services to tens of thousands of members, enhancing patient interaction and support. [1]

Timeline

2025 Q4: no updates

2025 Q3

4 updates

Elevance Health offers AI fluency certification for employees through OpenAI collaboration; emphasizes proprietary machine learning development roles; collaborates to unify claims processing and workforce management.

2025 Q2: no updates

2025 Q1

1 updates

Elevance houses tech-focused subsidiaries using AI tools for cost control by scrutinizing claims; regulatory concerns about health insurer AI adoption begin to surface.

2024 Q4: no updates

2024 Q3

2 updates

Reported use cases highlight AI's role in improving healthcare delivery and outcomes; Elevance explores AI use to reduce decision-making time but avoids direct AI decisioning.

2024 Q2

3 updates

AI embedded across consumer experience, operations, and analytics with leadership from Chief AI Officers; focus on ethical use and data privacy emphasized by Rachel Stuve.

2024 Q1

3 updates

Generative AI used to reduce health system roster processing times from 90 to fewer minutes and to interpret large volumes of patient data for personalized care.

2023 Q4

1 updates

Partnerships formed with Epic and Qualtrics to harness AI to reduce healthcare administrative burdens and improve patient experiences.

2023 Q3

2 updates

AI leveraged to improve call center efficiency, holistic health service access, and organizational understanding of AI implications, with David Sims as AI leadership voice.

2023 Q2

2 updates

Elevance Health expanded AI-powered digital concierge care to 40,000 members by end-2023; AI used to enhance diagnostics in Alzheimer's and stroke detection.