Based on five trends of how healthcare plans are using AI-powered prior authorization, here are some actions health plans can take:
Meet providers where they are while satisfying regulatory requirements and laying the foundation for more advanced AI-driven capabilities
Use AI to not only accelerate authorization approvals but to increase approval rates
Leverage clinical notes and claims data to engage with physicians, reduce medical expense, and improve care quality
Satisfy compliance concerns while improving collaboration with provider-specific and patient-specific analytics
Tailor treatment plans to individual patients by considering their unique genetic makeup, medical history, and lifestyle
