Healthcare AI

Executive Summary: Embracing automation is becoming a standard for operational excellence in the healthcare payer landscape. In this primer for payers, we break down the five core automation technologies: robotic process automation (RPA), smart workflows, computer vision, natural language processing (NLP), and cognitive agents. As healthcare payers navigate digital transformations and a competitive market, embracing

Executive Summary: We delve into the evolving and intersecting landscapes of prior authorization and healthcare interoperability for payers. Amidst increasing scrutiny related to AI-enabled denial decisions, CMS continues to waver on prior authorization rulings. We urge payers to stay ahead, navigating regulatory changes, optimizing workflows through automation, and investing in interoperability for enhanced trust and

Identifying Early Win Scenarios for AI in Healthcare The healthcare industry is uniquely positioned to benefit from the advent of artificial intelligence (AI), particularly in its generative form. As healthcare organizations cautiously navigate the landscape of this innovative technology, identifying scenarios where AI can quickly deliver value — or “early wins” — is crucial. These

Understanding the Landscape of Generative AI in Healthcare ​ Generative AI refers to the subset of AI technologies that can generate new data or patterns based on the learned information. In healthcare, this could mean creating synthetic medical images for training radiologists, generating realistic patient data for simulation purposes, or personalizing patient treatment plans. The

Incremental Adoption of Generative AI in Healthcare: Steps to Introduce Generative AI in Healthcare Settings The healthcare industry stands on the cusp of a transformative era with the integration of Generative Artificial Intelligence (AI). This technology, when incrementally adopted, promises to revolutionize patient care, administrative efficiency, and medical research. However, the path to its integration

Revolutionary Predictive Analytics Trends Shaping Healthcare Payers’ Future in 2024 Executive Summary: As the healthcare sector braces for more advanced algorithms from the AI revolution, we’re underscoring the strategic importance of predictive analytics in shaping the reputation and future viability of payer businesses. The key predictive analytics trends payers must take advantage of this year