Staffing shortages, rising costs, and reduced reimbursement rates create financial challenges for health systems, impacting patient experience, health equity, care quality, and availability. Generative AI can help alleviate these pressures.

Gen AI can help address challenges in healthcare such as shifting to value-based care, changing reimbursement rates, lack of price transparency, limited patient payment options, and the need to balance quality care with affordability.

Patients now have access to more medical information than ever before, and they want to be involved in their own healthcare decisions. Gen AI makes it easier to collaborate with these informed patients, enabling personalized diagnoses and treatments tailored to their individual needs.

Processing healthcare claims is often a slow, hard, and error-prone process. Gen AI makes it easier to automate this, correctly apply claims processing rules within regulatory guidelines, and execute contracted agreements.

Gen AI helps you build and maintain comprehensive, high-performing provider networks, giving you better control over costs and ensuring quality of care. It also allows to effectively analyze the provider’s performance, which is extremely important for improving the network and managing contracts.