Summary of Improving Member Care Webinar:
Evidence-based guidelines are critical to effective utilization management (UM), but static guidelines often can’t address nuances from comorbidities or variations across patient populations. Digital health solutions that leverage artificial intelligence (AI) and machine learning (ML) can extend the value of clinical intelligence, however, these technologies are underutilized today.
This webinar examines how AI and ML can leverage prior authorization as a trigger to engage health insurance providers, physicians, and members in episode-based care paths that integrate traditional utilization management, care management, and member engagement functions.
