A evolution in how to manage outcomes at scale.
Chronic care management inefficiencies impede effective population health management.
From Administrative Transactions to Proactive Population Health
1st
shift
Activation of
Agentic AI.
Agentic AI automates routine transactions such as prior authorization, utilization review, and medical necessity determination, significantly reducing manual workload and enabling real-time decision-making. With AI-powered automation taking over core administrative functions, clinical and operational teams can focus on strategic member interventions rather than repetitive tasks.
2st
shift
Member
Engagement.
With proactive, omni-channel campaigns, Outcomes Orchestrator enables a new paradigm of engagement. AI-driven personalization helps identify at-risk members and delivers timely interventions across multiple communication channels—phone, SMS, portal notifications, and virtual care—allowing payers to proactively address gaps in care before they escalate into costly medical events.
3rd
shift
Clinical Decision Support
& Collaborative Care.
With real-time data interoperability, Outcomes Orchestrator empowers clinical teams with the right information at the right time, enabling evidence-based decision-making. Clinical analytics and predictive modeling provide deeper insights into member risk, while real-time data exchange between payers, providers, and community organizations ensures a more coordinated, collaborative care approach.
A Vision for Better Outcomes &
Predictable Costs
Our vision is built on an integrated equation that fuses technology, AI, and clinical services to drive meaningful outcomes:
PHM Platform
Fully automated, integrated care management platform that connects payers, providers, and members through a unified workflow
ΑΙ Orchestration
Intelligent automation and predictive analytics that streamline transactions, enhance decision-making, and proactively engage members
Expert Services
Clinical BPO resources that extend payer capabilities, offering expert support to optimize care delivery and reduce administrative overhead
Transformational Outcomes
- Reduced total cost of care
- Enhanced member
engagement - Measurable quality improvements
The Managed Outcomes Model:
A Transformational Shift
Zyter TruCare envisions a future where payers no longer need to manage population health in a piecemeal fashion. Instead, they can outsource the complexity to an AI-enabled managed care solution that delivers: