#USA #San Francisco #digital health #Infinitus AI Suite #Member Services

Infinitus Unveils Groundbreaking Agentic AI Suite for Enhanced Health Plan Member Services

In a major shift aimed at improving the healthcare experience, Infinitus Systems, Inc. has launched its new Agentic AI Member Services Suite. Established as a leader in agentic communications in the healthcare sector, Infinitus has powered over 100 million conversation minutes, setting a precedent for innovation. The announcement made on February 3, 2026, highlights the pressing need for health plans to enhance member satisfaction while minimizing administrative costs amid rising call volumes.

Recent metrics show that AI-powered engagement is showing remarkable results compared to human-operated services. Infinitus's voice AI agents, for instance, have exceeded human benchmarks by over 18% for certain tasks. This development presents a compelling case for the integration of AI in member services. The introduction of the AI suite is a strategic move to automate and tailor the member experience during inbound and outbound calls—providing support from onboarding through care navigation and adherence. The suite boasts a remarkable approval rating of over 90% from members who interacted with the voice AI calls.

A pivotal focus of the Agentic AI Member Services Suite is the environment it operates within; it adheres to strict governance and compliance standards typical of regulated health plans. This ensures that Personal Health Information (PHI) is safeguarded while maintaining a high standard for the accuracy, safety, and reliability of each member interaction.

The suite is designed to yield three key outcomes for health plans:
1. Cost Reduction: It lowers the financial burden associated with servicing members.
2. Enhanced Member Engagement: The personalization of interaction boosts satisfaction and fosters a connection with members.
3. Improved Health Outcomes: By proactively engaging with members, the suite guides them towards the next best actions, including preventive care, appointment scheduling, and chronic condition management.

CEO Ankit Jain commented on the launch, expressing confidence that the Agentic AI Member Services Suite will revolutionize the approach health plans take towards member interactions. “Every interaction is a chance to provide personalized support and eliminate barriers to care that many individuals face,” he explained. The suite is grounded in clinical intelligence tailored for health plan workflows, ensuring high-quality service while allowing care teams to concentrate on areas where their expertise is most needed.

Statistics add weight to the necessity for such advancements. In the realm of Medicare Advantage, for example, 20% of beneficiaries with chronic and complex conditions represent a staggering 80% of total costs. Similarly, in commercial plans, nearly 90% of healthcare expenditures are attributed to just 20% of members. Addressing the needs of high-demand populations, Infinitus's AI suite ensures tailored and constant support for navigating their healthcare journeys—ranging from understanding coverage for specialized medications to resolving care gaps and arranging follow-ups.

An additional benefit of the platform is its ability to integrate seamlessly into existing systems. This allows health plans to scale their member services efficiently, without the need for additional personnel or disrupting established workflows. The AI agents are engineered to adopt natural speech patterns, tones, and timbres that instill a sense of trust among members, enhancing their overall experience.

The functional capabilities of the Agentic AI Member Services Suite include:

• - Member Onboarding: AI agents assist new members, clarifying their role as constant resources that are accessible 24/7 through voice or text. They collect communication preferences and explain the crucial aspects of the health plan, including access to care, prescriptions, benefits, and upcoming steps. They also conduct health risk assessments (HRAs) early on.
• - Intelligent Triage: A modernized approach that replaces legacy Interactive Voice Response (IVR), enabling agents to inquire about members’ needs directly, ensuring efficient routing to necessary assistance.
• - Administrative Self-Service: AI agents handle routine inquiries, from coverage questions to claim status checks, minimizing the need for human intervention.
• - Care Navigation: By continuously engaging members and following up on their needs, AI agents aim to close prevalent care gaps and support adherence, while also gathering experience data for further refinement.

This unveiling follows Infinitus's introduction of next-gen clinical AI agents, new direct-to-patient solutions, and partnerships with key players like Outshift by Cisco and IBM. It is evident that Infinitus is on a path of innovation and excellence; the company recently earned a spot on CB Insights Digital Health 50 and Fast Company's World's Most Innovative Companies of 2025, recognizing it as a frontrunner in reshaping healthcare through technology.

In summary, Infinitus Systems has set the stage for a new era in health plan member services with the launch of its Agentic AI Member Services Suite. By leveraging cutting-edge technology, Infinitus not only aims to streamline operations for healthcare providers but also to enhance the experiences of members, leading to better health outcomes and satisfied individuals navigating their healthcare journeys.