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AI in Healthcare Plans Key Actions and Benefits

As health plans increasingly adopt AI-enabled prior authorization, several key actions will help maximize the benefits. Providers need to be met where they are, meeting regulatory demands for smooth progression toward more complex AI-enabled processes that improve decision-making.

By streamlining the authorization-approvals process with AI, wait times are reduced, and more approvals for care are achieved in less time. Moreover, by tapping clinical notes and claims data, health plans will be able to better work with physicians to reduce medical expenses while delivering higher quality care.

Also, AI meets the needs of compliance with provider-specific and patient-specific analytics that help meet regulatory needs, facilitate better communication, and align care. With insights into genetic profiles, medical histories, and lifestyles, the ability to tailor treatment plans allows for truly personalized care.

Our eBook looks deeper into these trends and strategies for using AI in healthcare authorizations, focusing on ways that will save administrative money while delivering better quality care through faster access to necessary treatment.

Download this PDF for how your health plan can leverage AI-driven prior authorizations to deliver improved patient outcomes.