WHITE PAPER

Beyond legacy care:
How safe medical AI is reshaping the front door for health plans

The front door to healthcare is shifting, especially amid the rapid adoption of AI for health information. Eight out of ten Americans turn to search engines or general-purpose LLMs at least once a month for medical questions, despite the high risk of unsafe or potentially harmful responses.

Driving forces behind this shift, including physician shortages and legacy care models that deliver fragmented patient experiences, underscore the critical role of payers in modernizing access. If AI is shaping how members seek care, it must be safe, governed, and clinically accountable.

  • Limitations of legacy care models
  • External factors driving the adoption of healthcare AI
  • Considerations for adopting medical AI to improve access
  • Defining the path to a modern, AI-native front door to care

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