This year, CVS Health CVS has committed to investing $20 billion in technology over the next decade to address the widely discussed interoperability challenge in the U.S. healthcare system. The concept hinges on the idea that all different parts of the system interact with each other, ideally through a single patient record, regardless of company brand. CVS plans to build an open platform that gives seamless access to payers, providers, pharmacy benefit managers (PBMs), pharmacies and digital health tools.
The company has now joined more than 60 healthcare and technology companies — including Amazon, Anthropic, Apple, Google and OpenAI — supporting the Centers for Medicare and Medicaid Services (“CMS”) Health Tech Ecosystem initiative, which was announced at a White House event on July 30. Tony Ambrozie, CVS Health’s senior vice president, called it a once-in-a-lifetime opportunity to transform health care. He stated that the way the private sector and government collaborate on this will be vital to creating a healthcare system that truly serves patients.
Last month, Aetna introduced its new digital offering called Aetna Care Paths, available to members through the Aetna Health app. This technology makes it easier for members by giving clear information about procedures and benefits that may be encountered and tailored care recommendations — all in one place. Aetna Care Paths marks a shift from the typical transactional approach to health care most insurance companies take to a more journey-based and holistic style of care.
Other new Aetna technology upgrades include personalized cost tracking tools that let members see their in-network and out-of-network spending, monitor deductibles and easily access the related claims to better manage expenses. There is also a solution that more accurately identifies providers accepting new patients, rather than only relying on provider updates. Another AI solution matches digitally submitted claims with existing ones, helping members understand what they may owe.
UnitedHealth Group UNH is also helping advance the next generation of digital health care, including applying its core competencies in clinical delivery, technology, and data and analytics, investing in practical solutions and building a digital health care workforce deeply committed to consumer and health care provider needs. According to The Wall Street Journal, UNH now has a thousand AI applications in production, spanning across the company’s insurance, health delivery and pharmacy units, transcribing conversations from clinician visits, summarizing data, helping process claims and powering customer-facing chatbots.
