Health Cloud

Salesforce Health Cloud is a healthcare platform built on Salesforce CRM with AI and Agentforce. It consolidates clinical and non-clinical data in a central location to support collaboration, personalized care delivery, and automation of healthcare workflows. The platform is designed for healthcare organizations including payers, providers, and public health agencies.

Health Cloud supports patient and member management, care coordination, provider network management, and utilization management. It incorporates FHIR-compliant interoperability standards and includes AI capabilities through Agentforce, which can operate as both assistive and autonomous agents. The platform is designed to meet healthcare compliance requirements including HIPAA and GDPR.

Care Delivery and Patient Engagement

• Agentforce Contact Center for Healthcare pulls real-time data from FHIR-compatible EMR systems and provides contact center teams with summaries of patient history and in-network providers.
• Home care support includes automated scheduling, medication management, and care placement transfers, with Agentforce able to suggest services, generate quotes, and route them for patient approval.
• Appointment management allows service agents and patients to check, book, modify, or cancel appointments, manage waitlists, and coordinate multi-participant appointments to reduce no-shows.
• Crisis support and behavioral health capabilities support crisis center operations to facilitate access to mental health care.

Connected Data and Provider Management

• Integrated care management supports flexible care plans that account for social determinants of health, clinical assessments, and industry guidelines to identify and close care gaps.
• Provider relationship and network management covers staff recruitment, credentialing, onboarding, and referral management, with AI used to map and maintain provider roster files and data accuracy.
• Utilization management supports review of care decisions, appeals, and complaints, and simplifies prior authorizations and referrals through electronic and automated approval options.
• Group insurance functionality covers quoting, enrollment, benefits management, and renewals for small and large groups, including mid-year adjustments and employer-employee contribution management.

Automation and Interoperability

• Intelligent document automation provides end-to-end routing, classification, and multi-entity support for healthcare document intake and processing.
• Interoperability is supported through FHIR-compliant APIs, clinical data models, and pre-built healthcare apps, enabling data integration without custom code.
• Data 360 for Healthcare creates a real-time unified patient profile combining medical, demographic, claims-related, social, and behavioral data.

AI Capabilities with Agentforce

• Agentforce for Healthcare includes pre-built AI capabilities targeting patient access and services, as well as public health use cases such as benefits verification and disease surveillance.
• Disease surveillance workflows use real-time insights and automated processes to help public health agencies identify outbreaks and accelerate response.
• AI agents are designed to comply with HIPAA and GDPR standards and can function in both assistive and autonomous modes.

Pricing Tiers

1. Health Cloud Enterprise — from €350 per user per month (billed annually); includes healthcare provider and payer data models, integrated care management, OmniStudio, and FlexCards.
2. Health Cloud Unlimited — from €525 per user per month (billed annually); includes all Enterprise features plus additional storage, automation, predictive and generative AI, Premier Success Plan, and full sandbox.
3. Health Cloud Agentforce 1 for Service — from €750 per user per month (billed annually); includes all Unlimited features plus Agentforce for Health Cloud, Flex credits, Data Cloud, Slack, Analytics, Customer Community Plus, and Tableau Next.
4. Health Cloud Agentforce 1 for Sales — from €750 per user per month (billed annually); includes all Unlimited features plus Agentforce for Health Cloud, Flex credits, Data Cloud, Slack, Analytics, sales performance management, external partner apps, and Tableau Next.

Integrations and Complementary Products

• MuleSoft supports data integration across systems and automation of complex tasks.
• Marketing Cloud enables personalized patient and member communications across channels.
• Slack connects teams on a single platform for information sharing.
• Service Cloud supports patient contact and self-service interactions across channels.
• Life Sciences Cloud extends patient-centric experiences across life sciences organizations.
• Data 360 provides real-time contextual data for patient and member interactions.

Health Cloud is recognized as a Leader in the IDC MarketScape U.S. Healthcare Data Platform for Providers 2024–2025 Vendor Assessment and in the Everest Patient and Member Engagement Platforms 2024 PEAK Matrix Report. The platform is available with a 30-day free trial and can be extended through partner applications available via the Salesforce AppExchange and AgentExchange ecosystem.