Ada Health, the leading global AI health assessment and care navigation platform, and Groupe Mutuel, the comprehensive insurer, have launched a partnership to support quicker and easier access to affordable, effective care for up to 1.4 million Groupe Mutuel members across Switzerland.
Through this partnership, Ada’s clinically validated AI helps Groupe Mutuel offer tailored healthcare experiences for their members. For these members, Ada’s on-demand, trustworthy health assessments support them by navigating them to a wide array of services, 24/7. Facilitating quick, round-the-clock access to clinically appropriate services across Groupe Mutuel’s extensive care and partner network can improve time-to-treatment and potentially reduce unnecessary primary care visits.
Following an assessment, members will receive a recommendation for appropriate care options included in their policy and a referral voucher for reimbursement. Ada assessments are integrated into a member’s Groupe Mutuel single sign-on and are available in Italian, French, German, and English.
Since taking effect, Ada has already demonstrably improved member confidence, with a 59% reduction in members who are unsure of what care they should seek for their concerns. Members are also able to access guidance and services through Ada 24/7, with more than half of members utilizing Ada outside of normal clinical hours.
In addition to supporting members in understanding their health and navigating to care, Ada also helps highlight existing or unknown risk factors, such as high blood pressure and diabetes, informing potential prevention campaigns to improve long-term member well-being.
Nicholas Altebrando, Chief Product Officer at Ada, said: “At Ada, we believe that AI can help care-seekers everywhere access the right care at the right time. Partnering with insurance services enables us to provide tailored care pathways for members, helping us achieve this vision. We’re pleased to be extending our partnership with Groupe Mutuel to navigate its members to the right treatment and provide access to tailored, affordable, and efficient care for individuals across the Swiss healthcare system.”
Nicolas Höfler, Head of Digital Services & Ecosystems at Groupe Mutuel said: “By integrating Ada’s AI, Groupe Mutuel is the first health insurer in Switzerland to take an innovative and forward-looking approach to healthcare. It does not replace a doctor, but offers our members immediate and reliable assistance by orienting them to next steps.
“Offering a high level of diagnostic accuracy, Ada contributes to Groupe Mutuel’s aim of relieving the burden on the healthcare system by avoiding unnecessary visits to the doctor or guiding to more suitable services for their personal needs. Minor cases, which in the past caused overloads, can now be handled more specifically and efficiently – an advantage for members and the entire healthcare system.”
Groupe Mutuel users with questions about their symptoms can conduct a free AI-powered Ada health assessment directly through the Groupe Mutuel app. Based on their responses, Ada then provides users with tailored next steps based on their needs and personal insurance plan.