AI-powered, clinically-validated1 quality engine delivers a 92% increase in connections to top‑quartile2 providers and meaningful savings for employers
SAN FRANCISCO–(BUSINESS WIRE)–Included Health, a new kind of healthcare company delivering personalized all‑in‑one healthcare to millions of people nationwide, today unveiled Provider Connect, a first-of-its-kind healthcare experience that combines real-time member context with multi-dimensional quality and cost insights to guide members to high-quality, in-network providers and reduce avoidable spend driven by low-quality care.
“Employers are under real pressure to manage healthcare costs, and members are overwhelmed by choices that reveal very little about quality,” said Nupur Srivastava, chief operating officer at Included Health. “With Provider Connect embedded as part of Dot, Included Health’s AI assistant, we are significantly well positioned to not only find members a doctor, but rather, connect them with a high-quality doctor who is extremely relevant for their care need. The intelligence of Provider Connect, paired with the personal engagement of our in-app experience, and backed by our clinician-in-the-loop model, is changing behavior and helping employers leverage quality to better manage trend.”
Built on tens of billions of clinical and cost data points from millions of patients, and more than 300 specialty-specific quality measures — Provider Connect is designed to set a new bar for quality-led, personalized navigation:
- AI-native, integrated experience – Members describe what they need in natural language and are guided by their intelligent AI assistant — Dot by Included Health — to recommendations, education, and scheduling. In real-time, members see a curated set of best-fit providers with clear “why this doctor” rationale and can move from discovery, to out-of-pocket cost estimates, to booking in a single flow.
- Personalized matching powered by timely member context – A proprietary match engine continuously analyzes billions of clinical, cost, and quality data points, including 45 billion data points from 140 million patients, to recommend best-fit providers based on each member’s condition, preferences, and coverage — not static filters or generic in-network lists. By combining longitudinal clinical history with real-time signals, Provider Connect can, for example, recognize when two people in the same zip code need different primary care doctors based on their conditions, risk factors, and personal preferences.
- Transparent, quality-led network strategy – A single, explainable quality score helps members understand why a provider is recommended and routes them toward higher-value choices, while highlighting both clinical expertise and provider–member match on preferences such as gender, race/ethnicity — factors linked to greater trust and better adherence.
“Every vendor is talking about ‘driving members to quality’ right now, but very few can show real-world, claims-based impact,” said Owen Tripp, CEO of Included Health. “Provider Connect is built on the most comprehensive provider-quality data sets in the market, independently evaluated by clinicians and delivered through an experience that actually changes where people go for care.”
All-in-one member experience
Provider Connect is embedded across Included Health’s all-in-one platform — spanning virtual primary and specialty care, navigation, care management, and benefits support — and is central to Included Health’s alternative health plan designs, which align member financial incentives with high-quality providers to amplify results. Because of this, members encounter quality guidance as they ask coverage questions, chat with Dot by Included Health, schedule virtual visits, or work with care teams — not just when they click “find a doctor.”
Provider Connect builds on Included Health’s long-standing provider match capabilities, which have guided nearly 4 million members over the past decade and delivered a 92% increase in connections to top-quartile clinicians, with 9% total cost of care savings per-referral — impact the new Provider Connect experience is designed to extend and amplify.
Benefits leaders and consultants can see Provider Connect in action and hear more about the underlying quality engine during Included Health’s upcoming provider quality webinar on Thursday, May 14. To register, visit the Included Health Resources page.
About Included Health
Included Health is a new kind of healthcare company that delivers personalized all-in-one healthcare to millions of people nationwide. We provide healthcare access, answers, and advocacy through a modern experience designed to treat people better — mind, body, and wallet. It’s all included: comprehensive virtual and in-person care, system-wide navigation and care coordination, and 24/7 support for every clinical and administrative need. Our members see better doctors, experience better outcomes, and have more healthy days, all at lower cost. Learn more at includedhealth.com.
1Independently validated by researchers at Harvard Medical School and Veracity Analytics
2Top-quartile providers refers to the top 25% of physicians in a given specialty and geography on Included Health’s clinically validated quality score, which uses longitudinal claims and other data to evaluate safety, effectiveness, efficiency, and cost.
Contacts
Media Contact:
Alex Maynard
[email protected]
