Agility Risk Solutions wins in the AI - Healthcare category at Singapore Technology Excellence Awards 2021

Agility provides turnkey solutions with a proven track record of greatly reducing technology, healthcare risk, and operational costs, whilst increasing growth potential through online processes.

Agility Risk Solutions clinched the AI - Healthcare award at the Singapore Technology Excellence Awards 2021 for its latest generation, fully integrated, and end-to-end risk management system, JARVIS™.

JARVIS™ has embedded intellectual property to provide holistic turnkey solutions to health insurers for better adjudication of health episodes, treatments, and activities. 

To help health insurers analyse, predict, and reduce healthcare costs whilst remaining fully patient- and client-centric, Agility deploys AI and rules-based technology as part of the JARVIS™ solution’s modular, yet integrated design.

The technology’s advanced AI-learning module uniquely deploys clinical and business rule logic to formalise, implement, and enforce healthcare funder policies. With clinical-researched big data at its core, the system effortlessly ensures that appropriate claims are reimbursed, appropriate care is authorised, and the appropriate cost is charged by the provider of service. Applying more than 67 000 embedded rules, algorithms, and protocols, the sophisticated machine-learning processes can pre-emptively flag clinically inappropriate claims or authorisations/guarantees whilst asynchronously detecting risk patterns to flag individuals with predictable health threats.

Moreover, Agility’s AI and machine-learning technologies uniquely enable its clients to connect data from multiple sources to create a more unified picture.

The system’s AI capabilities greatly improve the speed and accuracy of fraud and waste detection with all claims and authorisations verified online and in real-time at line-item level before payment is made. This verification process also ensures that appropriate claims are processed immediately, therefore enhancing the service delivery to end customers. 

The data assembled by Agility worldwide furthermore allows for trends and actuarial predictions of the insurer’s customers to be measured against global experiences, thereby ensuring that a principle of learning globally, applying locally is duly implemented.

The claims and pre-authorisation / guarantee interventions of JARVIS™ also eliminate the need for providers and policyholders to raise claims and pre-authorisation queries via email or phone with the system auto-generating provider questions who receive an immediate response. 

Highly automated processes reduce operating costs, manage risks, and improve underwriting ratios, whilst fewer staff members ensure simpler management structures, reduced overhead costs, and more consistent decision-making. In fact, Agility case studies have proven that operational expenses can be reduced by as much as 50%, with the reduced human intervention also lowering human error for an immediate positive financial impact.

The Agility solution available to health insurers is unique and allows for a combination of clinical, technology, business, and actuarial skill sets from a team whose joint expertise spans more than 100 years. The result is a true and superior turnkey solution for customers. No longer do health insurers need to populate “off the shelf” systems that take years to research – the intellectual capital embedded in the Agility technology comprises almost 30 years’ independent research and development through a multi-skilled and specialist approach.

The Singapore Technology Excellence Awards is part of the umbrella Asian Technology Excellence Awards programme and currently running in 50 countries across the region.

Watch the interview below to know more about their winning project: