Insurance Operations

Reduced claims costs, fewer hospitalizations, and better member health outcomes

Background

Chronic illnesses like diabetes, hypertension, and COPD drive the majority of long-term healthcare costs for insurers. Our client, a progressive health insurance provider, wanted to reduce both the clinical risk and the claims burden of managing these conditions—without increasing overhead or requiring more clinical staff.

The Challenge

Members with chronic diseases often fall through the cracks between doctor visits. Without real-time data, health events escalate unnoticed, resulting in emergency claims, hospital admissions, and long-term complications—all costly to both the patient and the insurer.

The Solution

Azranta worked with the insurer and its care partners to deploy a connected health ecosystem, combining:
📟 Smart medical devices (e.g., blood pressure cuffs, glucose monitors) that transmit data from home in real time
🧠 AI-powered alerts to flag concerning trends and initiate early interventions
🗂️ Seamless EHR integration across primary care, specialists, and insurer platforms to ensure unified visibility into patient health
📉 Claims integration, linking health data to predictive modeling for more accurate risk scoring and underwriting

What the Retail Chain Said

Azranta helped us shift from reactive claims to proactive care.

By combining connected medical devices with smart data infrastructure, the insurer gained real-time visibility into patient risk and behavior. The result? Lower payouts, healthier members, and a scalable path to value-based care.

22% reduction in hospital admissions among monitored members
Up to 18% savings in chronic care-related claims costs
Improved underwriting accuracy for future policies
Higher engagement with care teams and lower dropout rates in disease management programs

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