Quantum Health Unveils Agentic AI Platform with Expanded Solutions for Smarter, Coordinated Healthcare Navigation
Quantum Health has launched an expanded suite of healthcare navigation solutions built on a new agentic AI platform designed to deliver more efficient, personalized, and effective care for employers and their employees. The platform combines intelligent automation with clinically validated provider guidance and human-led coordination to drive action, accountability, and better health outcomes. Agentic AI, unlike traditional AI that responds to queries, actively initiates tasks, manages workflows, and ensures follow-through across systems and people. Quantum Health’s platform uses AI agents to proactively identify health risks, trigger timely interventions, and seamlessly connect digital tools with human expertise—ensuring members receive the right support at the right time. The new solution suite marks a major evolution from Quantum Health’s single flagship offering to a flexible range of three distinct options, each tailored to an employer’s strategic priorities. All solutions integrate the same core platform, delivering consistent, coordinated care across digital and human touchpoints. At the heart of the new offering is a next-generation digital member experience powered by always-on agentic AI. This experience understands individual members’ benefits, health histories, and past interactions, enabling them to easily find high-quality providers, schedule appointments, estimate costs, resolve billing issues, and take the next step with confidence—using voice or text. Early results show AI agents are now handling many routine tasks in real time, such as eligibility checks, claims inquiries, and billing support. This frees up Care Coordinators and clinicians to focus on complex, high-acuity cases that require judgment, advocacy, and compassion. The platform integrates technology from Quantum Health’s 2025 acquisition of Embold Health, embedding peer-reviewed, clinically validated provider quality insights directly into member and care team workflows. This makes Quantum Health the system of record for provider quality decisions, strengthening steerage, improving outcomes, and controlling healthcare spending—all within HITRUST r2 Certified systems for top-tier security and compliance. Advanced predictive analytics further enhance the platform’s capabilities. Intelligent agents analyze client data, map member journeys, identify high-cost claimants, and forecast future risks, delivering clear, prioritized recommendations to HR teams. These agents communicate directly with one another, enabling secure, agent-to-agent collaboration that integrates data from various point solutions—creating a complete, real-time view of member behavior and program impact. One new solution offers a flexible alternative to traditional health plans, working alongside existing carriers, TPAs, or networks. It uses Embold’s quality analytics to guide members toward high-performing providers without requiring plan redesigns or operational disruption. The result is consistent, high-value care across the entire population, driving cost savings and better outcomes. Employers are already seeing results. Michelle Johnson, Senior Director of Total Rewards and HR Operations at MAG Aerospace, noted that since partnering with Quantum Health, her organization has avoided the large year-over-year cost increases seen by others, while boosting employee engagement and productivity. Alongside the new solutions, Quantum Health is unveiling a refreshed brand identity that reflects its transformation into a technology-driven leader in healthcare navigation. With over 26 years of proprietary data and more than 8 million members served, Quantum Health continues to set the standard for compassionate, data-informed care. The company’s mission remains clear: to remove barriers to care, ensure no member falls through the cracks, and create a healthcare system that works for everyone.
