Automate the experience, not just the systems.

Our current healthcare systems have their limitations.

We collect data, but we don’t really know what’s happening in a person’s everyday life. What if we could truly embody a patient-centric approach?

To deliver truly proactive, customer-centric care, you have to automate the user experience itself, not just the underlying systems.

We’re working with healthcare organizations to make it possible.

Are you ready to innovate with them?

Download the Innovators Unleashed report to understand what other organizations are doing to navigate healthcare complexity and learn how you, too, can be the forefront of healthcare innovation.

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Unlocking the Future of Healthcare with Real-Time Patient Insights and AI

GenAI: Personalized Engagement and Streamlined Services

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enGen: Leveraging Technology for a Unified Experience

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Innovating Healthcare: Adaptive AI webinar replay

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Navigating healthcare complexity


Proactively help healthcare consumers navigate a complex health journey to improve experience and outcomes.

Today, patients who receive a devastating diagnosis must decide what to do on their own to determine the most affordable and effective courses of action.

With Pega, it doesn’t need to be this way.

How Pega helps:

  • Adaptive AI helps practitioners see their patients’ full picture to avoid poor outcomes and high healthcare costs.
  • Conversational AI educates and learns from patients in real-time.
  • Real-Time Interaction Management (RTIM) adds context to enterprise data.
  • AI and automation let providers focus on every patient.

Adaptive AI: Driving value beyond the hype

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Pega named a Leader: Forrester Wave™: Task-Centric Automation Software, Q4 2024

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Demystifying AI for Healthcare: Reducing hallucinations

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Freeing agents to focus on the consumer first


Improve onboarding, training, and effectiveness through AI co-pilots that assist with calls, chats, and emails.

AI co-pilots are designed to make agents better at their jobs, to “listen” in on conversations, guiding them, finding and fetching data, and even responding.

How Pega helps:

  • AI co-pilots immediately add value without replacing apps or requiring retraining.
  • AI decisioning in Pega’s case-oriented data model uses automation to offload many of the routine tasks that agents used to perform.
  • New GenAI drives increased productivity by creating summaries and reports.
  • Voice AI and Messaging AI reduces typing and mistakes, while coaching, and guiding the agent.

Overcome the challenges: AI adoption in your call center

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Video Explainer: How is Voice AI transforming Elevance Health?

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More Resources: Pega GenAI home page

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Empower patients to improve their health outcomes


Provide consumers the insight, guidance, and skills they need.

During life-threatening situations, individuals need to quickly learn new skills, such as correct medication usage.

Adaptive AI prompts can provide the necessary repetition and reinforcement to transform information into knowledge and good habits.

How Pega helps:

  • Reduce cost of care by avoiding utilization of expensive services like hospitals and ERs.
  • Improve outcomes by making best use of treatments.
  • Adaptive AI prompts help avoid future health problems.
  • Engage others to maintain their own physical, mental health.

PegaWorld Video: Highmark Transforms the Consumer Experience – at Enterprise Scale

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Care management: Empowering care teams with a unified application

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AI-powered decisioning: Elevate every experience

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