AI Healthcare Product Platforms

Predictive Intelligence for Proactive Healthcare

AI platforms that detect risk, guide clinical decisions, and expand care access at scale

Healthcare operates reactively, driving unnecessary care and rising costs

Virgil's Patients

Virgil builds AI platforms that identify rising risk and guide patients to the right care at the right time

 
Amgen
Novartis
Merck

As HGS Chief Digital Officer – AI Products, Virgil’s leadership contributed to:

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110%

Of Global Revenue Target

Healthcare AI products helped HGS exceed its $685M target goal with $754M in revenue.

$11.7M

ARR Win with Digital Product

Sales enablement for a national insurer, plus additional $5–$10M client wins.

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6:1 ROI

$5.70 Rev for Every $1 Spent

Delivered through cross-functional collaboration with the digital product suite.

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+25%

Practice Growth Year-Over-Year

Over four years as practice lead across digital products for payers and providers.

Forward Forward

$1.2B

Divestiture to Baring Private Equity

Led healthcare portfolio transformation to improve market-readiness and ROI.

Transformative Digital Products for Millions of Patients and Their Families

“HGS is a superb partner to work with.”

“Their vision and strategy are completely aligned with ours, which makes our partnership harmonious. The entire team is client-centric, driven, and a joy to work with.”


Gartner Peer Insights

Precision Insights Program (PIP) is a physician-facing AI platform that transformed Anthem’s 50-million-member data lake into real-time, evidence-based prescribing recommendations.

By integrating claims, EHR, lab, and medications data, the platform predicted likely outcomes such as HbA1c improvement for comparable patients, replacing guesswork with data-driven precision medicine.

A transparent, “explainable AI” dashboard built physician trust and adoption while reducing medication changes and optimizing therapy selection. The result: faster decisions, better outcomes, and a scalable model for AI-enabled access innovation.

Outcomes

  • 25–35% faster treatment optimization decisions in diabetes care.
  • 18–25% reduction in unnecessary medication changes and lab visits.
  • 0.3–0.5 A1C average improvement among patients within six months.
  • 15–20% increase in physician adherence to guideline-concordant therapy.
  • Projected $150M–200M annual savings in avoidable costs across member base.
  • High clinician satisfaction (85%+ rated explanations as “clear and actionable”).
  • Compliant with HIPAA and model interpretability standards for clinical AI tools.

Agentic AI Nurse Support and Triage for Parents, Caregivers, and Families

The pediatric nurse triage AI agent is a HIPAA-compliant, voice- and text-enabled chatbot that replicated live clinical call center protocols to direct new parents to appropriate levels of care in real time.

Integrated into CRM and call center workflows, the AI platform improved access, reduced unnecessary clinical volume, and enhanced both operational efficiency and member satisfaction—especially for families navigating newborn care.

The solution supported secure, emotionally attuned communication across platforms, including web, phone, messaging apps, and mobile. The product was built as part of Anthem’s next-generation AI engagement platform, which centralized member tools across provider access, claims, benefits, personalized wellness goals, fitness tracking, billing, and rewards.

Outcomes

  • CAHPS top-box +6 pts (12 mos) on access/experience (Getting Care Quickly, Customer Service, Plan Rating).
  • HEDIS gains (12–24 mos) on PPC – Prenatal & Postpartum Care, Avoided ED (AMB), and Follow-Up After ED.
  • +12 pts in in-network match-to-book (pediatric specialists) → stronger retention/steerage.
  • 37% faster time-to-care from first contact to scheduled visit → improved access/activation.
  • 23% fewer non-emergent ED visits → reduced avoidable utilization via guided navigation.
  • 25% fewer unnecessary urgent care visits → optimized site of care and cost.
  • +25 NPS lift → improved CAHPS drivers (access, communication, overall plan rating).
Member Engagement Platform

Medical Avatar “Healthy Selfie” IncentaHealth Corporate Wellness

A wellness platform powered by AI and VR/AR that helps employees visualize and achieve future health states based on real-time biometric and lifestyle data

The “Healthy Selfie” Corporate Wellness solution serves as a top-tier employee benefit for its emotional resonance, intuitive UX, and personalization. It supports transtheoretical model behavior change through immersive, self-directed journeys, increasing engagement and accountability in chronic disease prevention. Medical Avatar’s work advances real-time health system (RTHS) maturity as well as health equity and access through personalization at scale.

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Outcomes

  • 75% of participants reduced A1C out of 77,942 total members
  • 98% engagement rate with quarterly retention exceeding the company’s wellness program benchmarks:
    – 65% first quarter
    – 50% second quarter
    – 45% third quarter
    – 40% fourth quarter
  • 28% overall adherence improvement
    for patients taking A1C medications
  • 3:1 ROI (Colorado State University study, 19,538 participants)

U.S. Patent No. 10037820

  • System and Method for Managing Past, Present, and Future States of Health Using Personalized 3-D Anatomical Models
  • Virgil Wong and Jessica Lacson, Inventors
  • Granted by the U.S. Patent and Trademark Office on March 12, 2013
  • Patent Listing

Virgil’s Work Featured in the Press

CBS News
The New York Times
The Huffington Post
Prevention
NPR

Prudential

Predictive Aging & Fall Risk Prevention Platform

AI platform predicting fall risk and health deterioration among aging populations using frailty indices, ADL data, and behavioral signals. Generates targeted interventions and personalized care guidance, helping caregivers prevent hospitalizations and long-term care admissions.

Outcomes

  • 3:1 ROI achieved through injury prevention and cost avoidance
  • $4.4M estimated annual savings for a major long-term care insurer
  • 22% reduction in hospital and SNF admissions, enabling seniors to remain at home an average of 3–4 months longer.
  • 34% reduction in caregiver stress and care coordination workload through personalized tools and support.
  • +18 NPS lift and 12% improvement in member retention among working caregivers managing elder and child care responsibilities.

HGS Agent X

A subscription-based AI platform designed to reduce healthcare call center employee stress and anxiety

Agent X integrates real-time analytics, intelligent automation, and 300+ prebuilt modules to modernize service delivery, reduce friction, and improve employee and member support.

With a unified interface compatible with legacy systems, Agent X enhances onboarding, improves decision-making, and gives executives insight into workforce sentiment, engagement, and quality of service—all while scaling with ease.

Outcomes

  • 30% cost savings operating budget
  • 42% faster employee onboarding
  • 89% increase employee retention
  • 100% legacy system compatible

Awards

  • 2025 TMC Product of the Year Award, Customer Magazine
  • 2024 Business Transformation & Operational Excellence Award
  • 2023 Product of the Year Award, Business Intelligence Group
  • 2023 Stevie Winner Technology Innovation Award
  • 2022 AI Breakthrough Award, Best Robotic Process Innovation

HGS PULSE

An AI/analytics product that gives CIOs and senior leaders real-time visibility into operational performance and customer behavior across channels.

Built on AWS with a proprietary data lake, PULSE aggregates and cleans unstructured data from dozens of sources into one custom dashboard.

Predictive analytics forecast customer churn, optimize workforce planning, and identify call drivers to enable proactive customer interventions. PULSE elevates contact center operations into strategic levers for growth. By turning data into decisions, it empowers CIOs to align CX with measurable outcomes.

PULSE

Awards

  • 2020 TMC CX Innovation Award, Customer Magazine
  • 2020 Cloud Computing Excellence Award for Most Effective Use of Cloud
  • 2020 Golden Bridge Award Business World for Innovative Use of AI, ML, and NLP

Outcomes

  • 40% increase in reporting efficiency
  • 25% reduction in manual effort overall
  • 500 manual reports automated
  • 200,000 manual hours re-allocated
  • 119 KPIs tracked across business units

Gartner Consulting AI Products

As healthcare managing partner, Virgil worked with Gartner’s Digital Growth and Transformation Practice to package and promote new AI products for payers and providers.

Right.AI is a Gartner Consulting solution that streamlines enterprise AI governance by guiding stakeholders through use case ideation, prioritization, and risk assessment using agentic AI and proprietary frameworks.

Built to bring clarity and control across the AI lifecycle, it helps leaders make smarter, faster decisions on which initiatives to fund, scale, or retire.

AI for Healthcare is a Gartner Consulting solution that helps healthcare organizations cut administrative costs and improve customer care through secure, AI-driven assistants that deliver real-time, accurate responses.

Virgil Wong

Enterprise Healthcare Platform Leadership

Virgil builds AI healthcare platforms that detect rising risk, guide patients to the right care, and improve outcomes across large healthcare ecosystems.

Attention Attention

RISK DETECTION & HEALTH INTELLIGENCE

Built predictive intelligence platforms analyzing claims, Rx, utilization, and behavioral data to identify rising-risk members, detect care gaps, and trigger impactful early interventions.

PROACTIVE PATIENT ENGAGEMENT

Designed AI-powered engagement systems that activate patients through personalized outreach, digital health journeys, and conversational agents that improve adherence and long-term outcomes.

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CARE NAVIGATION & CLINICAL ROUTING

Built care navigation platforms that guide patients to the most appropriate care setting, providers, and programs, reducing unnecessary utilization while improving access and experience.

DIGITAL CARE DELIVERY EXPERIENCES

Designed consumer healthcare platforms across mobile, web, and conversational interfaces enabling patients to access care, manage benefits, and navigate complex healthcare journeys.

HEALTHCARE PRODUCT PLATFORM LEADERSHIP

Led multidisciplinary teams of product leaders, designers, engineers, and data scientists delivering AI-enabled healthcare SaaS platforms serving national payers, providers, and life sciences organizations.

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VALUE-BASED PRODUCT STRATEGY

Defined product strategy and platform roadmaps aligning patient access, clinical capacity, and value-based healthcare economics to drive measurable outcomes and cost reduction.

HGS Business Growth Surpassed Revenue Targets

“Virgil’s product leadership helped us surpass our annual revenue targets. His team achieved a 6:1 ROI.”

Annual company revenue for the last fiscal year hit $756M, exceeding the target by over 10%. Product success helped drive the $1.B divestiture of HGS Healthcare to Baring Private Equity.

Total Annual Revenue Supported

Portfolio Revenue Growth

AI Healthcare Platform Leadership

Building Predictive Systems for the Future of Care

Virgil is dedicated to creating enterprise AI platforms that anticipate risk, guide patients through complex care journeys, and help healthcare systems deliver better outcomes at sustainable cost.

Virgil’s core expertise includes:

Virgil Wong
  • Predictive Risk Detection

  • Care Navigation Systems

  • Clinical Decision Intelligence

  • Healthcare Data Platforms

  • Patient Experience and
    Behavior Change Design

  • Conversational Care Agents

  • Population Health Analytics

  • Platform Product Leadership

  • Cross-Functional Team Leadership

Contact Virgil Wong

Let’s discuss building predictive healthcare platforms that improve outcomes and expand access to care.