Adversarial-Cooperative LLMs: Transforming Medicare Plan Selection for Seniors
Medicare plan selection is a complex and critical decision for seniors, requiring an intricate balance of cost, coverage, convenience, and personal preferences. We propose a novel system leveraging Adversarial‑Cooperative Large Language Models (LLMs) to assist seniors in navigating this decision‑making process. By combining contextual awareness, conversational AI, and multi‑agent systems, this approach provides personalized, data‑driven recommendations that align with the user’s unique needs and concerns.

The system begins by collecting relevant information from the user, including age, ailments, medications, and concerns (e.g., cost sensitivity, access to pharmacies, maintaining continuity of care, or transportation challenges). Geolocation data, such as the user’s county of residence, identifies the available Medicare plans, which are further enriched with CMS data, including premium costs, Star ratings, enrollment statistics, and formulary information. This comprehensive dataset is indexed into a vector database, enabling efficient and semantic searches.

For each plan under consideration, an LLM is “”spawned”” to evaluate its suitability for the user. A “”referee”” LLM monitors for potential biases in recommendations, fostering an adversarial‑cooperative dialog among the LLMs. The agents collaboratively analyze the user’s specific needs, advocating for or against their assigned plans. Plans deemed unsuitable are discarded early, especially when mismatched with non‑negotiable criteria (e.g., premium costs or required coverage).

The final recommendations are presented to the user, highlighting how the selected plans address their concerns. For added transparency, the system optionally displays the dialog among LLMs, allowing users to trace the “”thought process”” that led to the recommendations. This design not only personalizes the selection process but also increases trust and understanding, empowering seniors to make informed healthcare decisions.

This innovative application of adversarial‑cooperative LLMs bridges the gap between complex data‑driven insights and user‑centric healthcare needs, offering a scalable solution to Medicare plan selection challenges. The proposed system demonstrates how AI can transform healthcare analytics, combining state‑of‑the‑art technologies with practical, user-focused outcomes.

About the speaker

Molly Maskrey
Molly Maskrey
Senior Data Scientist at Forte Analytics
Molly Maskrey is an accomplished data scientist and healthcare analytics expert with extensive experience in developing cloud‑based AI solutions. Her work focuses on leveraging advanced technologies, such as Retrieval‑Augmented Generation (RAG) and parallel computing, to address complex challenges in the pharmaceutical and Medicare spaces. Molly has a proven track record of designing scalable web applications that integrate real‑world data, including CMS enrollment and formulary data, to deliver actionable insights. Beyond her professional expertise, she is an advocate for innovation, consistently pushing the boundaries of what AI can achieve in healthcare.
NLP-Summit

When

Sessions: April 2nd – 3rd 2024
Trainings: April 15th – 19th 2024

Contact

nlpsummit@johnsnowlabs.com

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