Outcome Orchestration for Better Healthcare Results

Healthcare payer contact centers play a critical role in driving enrollments, retaining members, and improving health outcomes—often under intense seasonal pressure. During peak periods such as Government and Individual Open Enrollment, millions of high-stakes interactions occur in short windows where capacity, accuracy, and trust directly determine growth.

Afiniti is a leading provider of outcome orchestration for healthcare, helping payers orchestrate patient and member interactions to improve enrollment conversion, retention, care delivery, and clinical performance—at enterprise scale and with measurable impact.

Healthcare

Since 2017, Afiniti has been helping some of the world’s largest healthcare insurance companies provide exceptional customer care.

Using AI to pair customers with nurses and customer service representatives is increasing life expectancy, improving health outcomes, and reducing costs for subscribers and providers alike.

How Afiniti delivered for a large US healthcare insurance company

6%

Increases in Telesales

Afiniti improves the outcomes that matter most to healthcare insurance providers

Increased member
enrollments

Reduced gaps

in care

Higher CMS
satisfaction score

Higher CMS ratings
& bonuses

Better medical
outcomes

Greater member
satisfaction

Increased care &
pharmacy service usage

Reduced medical
expenses

Improved provider
satisfaction

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