Data Sheet: Maximize Care Team Capacity for Complex Populations with Haven AI

Health plans face a significant challenge in caring for Medicaid, Dual-Eligible (D-SNP), and Long-Term Services & Supports (LTSS) members. These populations often have chronic and complex conditions that demand high-touch, relentless care coordination.

The core paradox is that while care managers are essential for improving member outcomes, they dedicate substantial time to administrative tasks. This includes navigating fragmented systems, reviewing disparate records, and piecing together critical member information. This administrative burden leads to drained care team capacity and increased operational costs, but also pulls away from pulls focus away from building meaningful connections with members who need it most.

The Solution: Haven, an AI-Powered Assistant for GuidingCare®

Haven is an intelligent, AI-powered nurse assistant embedded directly within the GuidingCare platform. It's purpose-built to support health plan care teams by acting as a dedicated assistant that synthesizes complex health histories into clear, actionable insights.

By automating documentation reviews and answering natural-language questions, Haven empowers care managers to shift their focus from screen navigation to member interaction. The integration is designed to dismantle data barriers, allowing your team to dedicate its time to building meaningful relationships with members.

Haven is built on GuidingCare’s® native data model, so no data leaves the platform and no third-party AI needs to learn your members. The intelligence is already inside your system. Built natively within GuidingCare®, Haven understands your members, your workflows, and your data—without any integration overhead or data transfer risk.

What Are the Core Capabilities of Haven AI?

How Does Haven Benefit Your Care Management Team?

Implementing Haven provides immediate, measurable value for health plan care management teams. The platform is designed to deliver a clear return on investment by transforming daily operations and improving staff wellbeing.

• Seamless, Disruption-Free Integration: Instantly activate Haven within the GuidingCare platform without code changes, complex deployments, or lengthy IT involvement.

• Immediate Impact on Efficiency: Automate prep work and documentation review, increasing member engagement time by up to 20%.

• Improved Care Manager Wellbeing: Eliminate manual data hunting and reduce cognitive overload, allowing staff to focus on providing care rather than managing paperwork.

• Continuous Innovation: Receive automatic enhancements and new features without the burden of manual upgrades or versioning.

• Guided Onboarding & Early Access: Benefit from comprehensive guidance from day one and secure a position at the forefront of care management innovation.

HealthEdge’s Commitment to Responsible AI Development

At HealthEdge®, we are committed to developing and delivering AI solutions that prioritize safety, equity, and meaningful outcomes. Our development approach aligns with established healthcare AI frameworks, including the Healthcare AI Commitments and guidelines from the Coalition for Health AI (CHAI™).

To maintain the highest standards, our enterprise AI risk governance incorporates the National Institute of Standards and Technology (NIST) AI Risk Management Framework. This addresses critical areas like security, ethics, privacy, and fairness. We partner with customers and industry stakeholders to deliver AI features that generate measurable value and empower health plans to meet the demands of complex populations.

Frequently Asked Questions (FAQ) about Haven AI

1. What is Haven AI?
Haven is an AI-powered nurse assistant built directly into the GuidingCare platform. It helps care managers by automating administrative tasks, summarizing member health histories, and answering questions in natural language.

2. How does Haven integrate with existing systems?
Haven is natively embedded within GuidingCare. This means there is no complex integration, no data transfer risk, and no need for third-party AI systems. It works seamlessly within your existing workflow from day one.

3. What populations is Haven designed for?
Haven is specifically designed to help care teams manage complex populations, including Medicaid, Dual-Eligible (D-SNP), and Long-Term Services & Supports (LTSS) members.

4. How does HealthEdge ensure Haven is a responsible AI tool?
HealthEdge® follows strict responsible AI development principles, aligning with frameworks from CHAI™ and NIST. We prioritize patient safety, fairness, security, and privacy in all our AI solutions.

5. What results can I expect from implementing Haven?
Health plans can expect an immediate impact on efficiency, with the potential to increase member engagement time by up to 20%. It also helps reduce administrative burden, which improves care manager wellbeing and retention.

Join the Haven Early Adopter Program

Secure one of the limited spots in our exclusive Early Adopter Program to transform your care management infrastructure. Participants receive access to Haven’s ambient intelligence capabilities and comprehensive guided onboarding for clinical staff.

Contact your HealthEdge representative today to schedule a brief demonstration and reserve your organization’s position in the program.