Aetna Launches New AI and Digital Tools to Improve Access and Care
Aetna, a CVS Health company (NYSE: CVS), has unveiled significant digital healthcare innovations including Aetna Care Paths and AI-driven programs. The initiative is part of CVS Health's $20 billion multi-year digital investment to simplify healthcare navigation.
The new Aetna Health app features include personalized care recommendations, vaccine scheduling, improved claims visualization, and AI-powered chat support. Notably, AI-driven clinical solutions provide nurses with 90 additional minutes daily for member interactions. The platform also introduces Smart Compare for provider recommendations and enhanced accessibility features.
Key innovations include provider availability verification through claims data, personalized cost tracking, and AI-powered bill matching for claims submission, representing a shift from transactional to journey-based healthcare management.
Aetna, una società di CVS Health (NYSE: CVS), ha presentato importanti innovazioni digitali nel settore sanitario, tra cui Aetna Care Paths e programmi basati sull'intelligenza artificiale. Questa iniziativa fa parte dell'investimento digitale pluriennale da 20 miliardi di dollari di CVS Health volto a semplificare la navigazione nel sistema sanitario.
La nuova app Aetna Health offre funzionalità come raccomandazioni personalizzate per la cura, programmazione dei vaccini, una migliore visualizzazione delle richieste di rimborso e supporto tramite chat con intelligenza artificiale. In particolare, le soluzioni cliniche basate sull'IA consentono agli infermieri di guadagnare 90 minuti aggiuntivi al giorno per l'interazione con i pazienti. La piattaforma introduce inoltre Smart Compare per raccomandazioni sui fornitori e funzionalità di accessibilità migliorate.
Tra le innovazioni principali figurano la verifica della disponibilità dei fornitori tramite dati delle richieste, il monitoraggio personalizzato dei costi e l'abbinamento automatico delle fatture per la presentazione delle richieste, segnando un passaggio da una gestione sanitaria basata sulle transazioni a una incentrata sul percorso del paziente.
Aetna, una compañía de CVS Health (NYSE: CVS), ha presentado importantes innovaciones digitales en el cuidado de la salud, incluyendo Aetna Care Paths y programas impulsados por inteligencia artificial. Esta iniciativa forma parte de la inversión digital multianual de 20 mil millones de dólares de CVS Health para simplificar la navegación en el sistema de salud.
La nueva aplicación Aetna Health incluye recomendaciones personalizadas de atención, programación de vacunas, mejor visualización de reclamaciones y soporte por chat con IA. Destaca que las soluciones clínicas impulsadas por IA brindan a las enfermeras 90 minutos adicionales diarios para interactuar con los miembros. La plataforma también presenta Smart Compare para recomendaciones de proveedores y funciones mejoradas de accesibilidad.
Las innovaciones clave incluyen la verificación de disponibilidad de proveedores mediante datos de reclamaciones, seguimiento personalizado de costos y emparejamiento automático de facturas para la presentación de reclamaciones, representando un cambio de una gestión sanitaria transaccional a una basada en el recorrido del paciente.
Aetna는 CVS Health(뉴욕증권거래소: CVS)의 자회사로서, Aetna Care Paths와 AI 기반 프로그램을 포함한 중요한 디지털 헬스케어 혁신을 발표했습니다. 이 이니셔티브는 CVS Health의 200억 달러 규모 다년간 디지털 투자의 일환으로, 헬스케어 이용을 간소화하는 것을 목표로 합니다.
새로운 Aetna Health 앱은 개인 맞춤형 케어 추천, 백신 예약, 청구 내역 시각화 개선, AI 기반 채팅 지원 등의 기능을 제공합니다. 특히 AI 기반 임상 솔루션 덕분에 간호사들은 회원과의 상호작용에 하루 90분 추가을 확보할 수 있습니다. 또한 이 플랫폼은 제공자 추천을 위한 Smart Compare와 향상된 접근성 기능도 도입했습니다.
주요 혁신으로는 청구 데이터를 통한 제공자 가용성 확인, 개인 맞춤형 비용 추적, AI 기반 청구서 매칭 기능이 포함되며, 이는 거래 중심의 헬스케어 관리에서 여정 중심 관리로의 전환을 의미합니다.
Aetna, une société de CVS Health (NYSE : CVS), a dévoilé d'importantes innovations numériques dans le domaine de la santé, notamment Aetna Care Paths et des programmes pilotés par l'intelligence artificielle. Cette initiative s'inscrit dans le cadre de l'investissement numérique pluriannuel de 20 milliards de dollars de CVS Health visant à simplifier l'accès aux soins.
La nouvelle application Aetna Health propose des recommandations de soins personnalisées, la planification des vaccinations, une meilleure visualisation des demandes de remboursement et un support par chat alimenté par l'IA. Notamment, les solutions cliniques basées sur l'IA offrent aux infirmières 90 minutes supplémentaires par jour pour interagir avec les membres. La plateforme introduit également Smart Compare pour des recommandations de prestataires et des fonctionnalités d'accessibilité améliorées.
Les innovations clés comprennent la vérification de la disponibilité des prestataires via les données de remboursement, le suivi personnalisé des coûts et la correspondance automatisée des factures pour la soumission des demandes, marquant une transition d'une gestion de santé transactionnelle à une gestion centrée sur le parcours du patient.
Aetna, ein Unternehmen von CVS Health (NYSE: CVS), hat bedeutende digitale Innovationen im Gesundheitswesen vorgestellt, darunter Aetna Care Paths und KI-gesteuerte Programme. Diese Initiative ist Teil der 20-Milliarden-Dollar-mehrjährigen Digitalinvestition von CVS Health zur Vereinfachung der Gesundheitsnavigation.
Die neue Aetna Health App bietet Funktionen wie personalisierte Pflegeempfehlungen, Impfplanung, verbesserte Ansichten von Leistungsabrechnungen und KI-gestützten Chat-Support. Besonders hervorzuheben ist, dass KI-basierte klinische Lösungen Pflegekräften täglich 90 zusätzliche Minuten für die Interaktion mit Mitgliedern verschaffen. Die Plattform führt zudem Smart Compare für Anbietervorschläge und verbesserte Barrierefreiheitsfunktionen ein.
Zu den wichtigsten Innovationen zählen die Verfügbarkeit von Anbietern anhand von Abrechnungsdaten, personalisierte Kostenverfolgung und KI-gestütztes Rechnungsabgleich für die Einreichung von Ansprüchen, was einen Wandel von einer transaktionsorientierten zu einer auf den Patientenverlauf ausgerichteten Gesundheitsverwaltung darstellt.
- Part of a substantial $20 billion multi-year digital investment by CVS Health
- AI technology provides nurses with 90 additional minutes per day for patient care
- Nearly 50% of active Aetna members use the app monthly
- Implementation of AI-driven clinical solutions enhances operational efficiency
- Introduction of personalized cost tracking and automated claims submission features
- Significant capital expenditure required for digital transformation
- Heavy reliance on technology and AI may pose cybersecurity and privacy risks
Insights
Aetna's AI-driven tools represent a strategic competitive advantage in healthcare delivery, potentially increasing member retention and operational efficiency.
Aetna's launch of Aetna Care Paths and AI-driven programs marks a significant advancement in the healthcare insurance space. This digital transformation is part of CVS Health's $20 billion multi-year investment in technology, positioning the company at the forefront of AI-enabled healthcare delivery.
The implementation of AI-powered clinical solutions that free up 90 minutes per day for nurses represents a substantial operational efficiency gain. This translates to approximately a
What's particularly notable is Aetna's shift from a transactional approach to a journey-based model of healthcare delivery. This strategic pivot addresses one of healthcare's most persistent challenges: fragmentation of care. By providing personalized care paths for members with specific health conditions and consolidating relevant information in one digital location, Aetna is creating significant differentiation in the marketplace.
The high engagement rate—nearly
The AI-powered provider verification system that validates if doctors are truly accepting new patients solves a common friction point in healthcare navigation. Combined with personalized cost tracking and automated claims submission features, these innovations address key pain points in the member experience that typically drive dissatisfaction with health insurers.
- Aetna Care Paths, a first-to-market care option available in the Aetna Health app, makes it easier and simpler for members to get the care they need
- AI enabled clinical solutions enhance the human touch, giving nurses 90 more minutes a day to spend with members
Aetna Care Paths is a new digital offering available to members through the Aetna Health app. This technology simplifies the member experience by giving clarity about procedures and benefits that may be encountered and personalized care recommendations, all in one convenient location. At the core of Aetna Care Paths is a US patent-pending technology that delivers personalized recommendations for programs that will support members on their healthcare journey.
With Aetna Care Paths, members with certain health conditions receive a personalized view of their relevant benefit information as well as a care team to support them throughout their journey. Through AI-powered technology, members will find personalized health and wellness programs tailored to their specific condition, as well as the opportunities to order care kits for additional support.
Aetna Care Paths is a marked shift from the transactional approach to health care taken by most insurance companies, to one that is journey-based and holistic.
"Aetna Care Paths are one example of CVS Health's
Nearly half of active Aetna members turn to the app each month to understand their benefits, manage their health and search for health care providers. Aetna Care Paths is just one of many tools that members can access through the Aetna App. Recent updates to the app include:
- Schedule a vaccine: Members can view, and schedule recommended vaccines through their local CVS Pharmacy and MinuteClinic within minutes. They can also find other providers of their choice.
- Better visualize claims: A new "donut" chart clearly breaks down claim costs, helping members better understand what their plan covers and what they may owe.
- Chat for quick, accurate answers: By the end of July, members will quickly find the chat icon on the home screen and core landing pages to get help when they need it. This AI-powered chat provides immediate answers and integrates seamlessly with our call centers if a higher touch is needed.
- Find the best doctor: Aetna's Smart Compare uses intelligent matching to offer members personalized provider recommendations with the highest likelihood of meeting their preferences and individual health needs.
- Advanced accessibility: A sleek, low-light dark mode interface improves accessibility and provides a more comfortable viewing experience for those who prefer a dark display – the first of its kind among leading health insurance apps.
Learn more about the Aetna Health app's capabilities.
As we help members achieve their health goals more rapidly, we also save time for our colleagues. AI-driven clinical care summaries are a unique innovation aimed at giving nurses more time – as much as 90 minutes per day, or a full day per week – to engage and support members.
"We're giving our nurses more quality time to connect with members, listen to their concerns and help them navigate their health journeys," said Dr. Ben Kornitzer, Aetna's Chief Medical Officer. "This could be a cancer patient, or a member recently diagnosed with heart disease, and that extra time in one-on-one conversations not only improves physical health outcomes but also supports our member's mental well-being. Helping our members achieve their best health, is our number one priority."
Other new Aetna technology solutions include:
- More Accurately Find Providers Accepting New Patients: Instead of only relying on information shared by providers, Aetna taps into our claims data to validate if a provider is accepting new patients.
- Personalized Cost Tracking: Offers members tools to track their in-network and out-of-network spending, monitor their deductibles, and easily access the claims associated with those costs, helping them better understand and manage their health care costs.
- Provider Bill Matching and Claims Submission: Allows members to digitally submit claims by snapping a photo of a provider bill, which AI automatically matches with existing claims, helping members understand what they may owe.
About CVS Health
CVS Health is a leading health solutions company building a world of health around every consumer, wherever they are. As of March 31, 2025, the Company had more than 9,000 retail pharmacy locations, more than 1,000 walk-in and primary care medical clinics, a leading pharmacy benefits manager with approximately 88 million plan members, and a dedicated senior pharmacy care business serving more than 800,000 patients per year. The Company also serves an estimated more than 37 million people through traditional, voluntary and consumer-directed health insurance products and related services, including highly rated Medicare Advantage offerings and a leading standalone Medicare Part D prescription drug plan. The Company's integrated model uses personalized, technology driven services to connect people to simply better health, increasing access to quality care, delivering better outcomes, and lowering overall costs.
Media contact
David Whitrap
857-523-1219
David.Whitrap@cvshealth.com
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SOURCE CVS Health
FAQ
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