AI Agents in Action: Revolutionizing Navigation by Driving Personalized Care and Trust
Based on a webinar hosted by Pager Health℠ on July 30, 2025
Health plans are at a crossroads. As consumer expectations outpace legacy infrastructure and point solutions multiply, the path forward demands more than digital convenience. It requires intelligent, connected, and trusted experiences.
WEBINAR RECORDING
AI Agents in Action
This blog just scratches the surface. The full webinar drives deeper with real-world examples and unfiltered insights from our expert panel on how AI agents are transforming healthcare.
This webinar explored a pivotal shift: how AI agents are redefining care navigation from fragmented and reactive to care navigation that is personalized and relationship-driven. The implications? A fundamental reimagining of how plans engage, support, and retain their members.
Featuring:
Dr. Brooke Cowan, VP, Applied AI, Cambia Health Solutions
Sunny Webb, Director, Product, AI and Data, Pager Health
Dr. Erica Zuhr, Data Scientist, Pager Health
Moderator: Rita Sharma, Chief Product Officer, Pager Health
“You can’t shortcut trust. You have to earn it through every interaction (digital or human).”
AI Agents Are Reshaping Healthcare: What Every Health Plan Leader Must Know
AI agents are strategic enablers, not chatbots.
AI agents have evolved from passive responders to active care collaborators. Unlike traditional bots, AI agents leverage contextual intelligence to guide members through symptoms, benefits, provider options, and care gap closures, all within a single, seamless engagement.
Executive Takeaway: This improves member satisfaction, reduces administrative burden, and drives cost-efficiency.
Trust drives adoption and must be intentionally engineered.
In a system where trust is fragile, especially around AI, credibility is earned through clinical depth, transparency, and smart design. Pager Health combines AI with licensed clinicians, clear escalation protocols, and explainable logic behind every recommendation.
Executive takeaway: Trust is not optional. Trust drives growth or accelerates it. Building trust increases engagement and mitigates risk.
True personalization is clinical, not cosmetic.
Demographic targeting is outdated. AI-powered personalization uses real-time clinical, behavioral, and social data to guide members toward care pathways tailored to their risks, readiness, and benefits coverage.
Executive takeaway: This level of precision improves quality scores (e.g., HEDIS, STAR), reduces utilization waste, and supports value-based outcomes.
AI orchestration simplifies the digital health maze.
Members are overwhelmed by siloed point solutions. A unified AI-powered front door ensures members access the right tools and services at the right time, without needing to navigate the ecosystem themselves.
Executive takeaway: Increase utilization of underused resources, boost NPS, and lower member confusion and dropout rates.
AI is redefining the health plan’s role.
With smart deployment, AI enables health plans to shift from benefit administrators to proactive care partners. This evolution delivers real-time, personalized, and empathetic support at scale.
Executive takeaway: Reframing your role can deepen brand loyalty, improve retention, and differentiate your plan in a competitive landscape.
Strategic Insights for Payers
AI readiness is a differentiator.
Plans that invest now in foundational capabilities, such as natural language understanding, data interoperability, and closed-loop integrations, will be best positioned to lead.Member-centricity is more than UX - it’s operational.
Even the most advanced AI agent won’t succeed without aligned care teams, measurable KPIs, and efficient back-end processes.Clinical and digital leadership must co-own AI.
Successful implementation demands strong collaboration between clinical, IT, and consumer experience leaders to ensure accuracy, accountability, and empathy.
Watch the full webinar to see how AI agents are revolutionizing care navigation, and what it means for your plan’s future.
Discover what AI agents can do for your members. Schedule a demo today.