Generative AI: A Roadmap for Healthcare Leaders The integration of Generative Artificial Intelligence (AI) in healthcare is more than an innovation; it’s a transformative journey that requires careful planning, execution, and leadership. As the capabilities of generative AI continue to expand, healthcare leaders are tasked with harnessing its potential while navigating the ethical, regulatory, and […]

Generative AI: A Roadmap for Healthcare Leaders The integration of Generative Artificial Intelligence (AI) in healthcare is more than an innovation; it’s a transformative journey that requires careful planning, execution, and leadership. As the capabilities of generative AI continue to expand, healthcare leaders are tasked with harnessing its potential while navigating the ethical, regulatory, and

Unlocking Efficiency: A Guide to Automation Technologies for Healthcare Payers 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

Unlocking Efficiency: A Guide to Automation Technologies for Healthcare Payers 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

The Future of Medicare: Advancing Interoperability and Streamlining Prior Authorization 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

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

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