As technological advancements reshape the health care landscape, industry stakeholders continuously adapt to an influx of new, cutting-edge tools and solutions. With these advancements having the potential to dramatically enhance organizational productivity, streamline efficiency, and significantly improve patient outcomes in unprecedented ways, a lot is riding on selecting accurate and responsible technology.

Most recently, health organizations and their stakeholders have rapidly turned to AI and machine learning to expedite high-quality care delivery and optimize administrative workflows. Leveraging predictive AI with accurate and comprehensive data entry capabilities greatly enhances overall health care efficiency. However, as health care providers and health plans increasingly adopt AI, a new concern emerges around the potential overreliance on AI for critical decision-making, especially regarding its use in optimizing antiquated prior authorization (PA) approval processes.

A recent investigation involving the use of AI-based technology to review prior authorization requests found that hundreds of thousands of pre-approved claims that were denied within a two-month period received, on average, just 1.2 seconds of physician review per request.

Complete your profile to continue reading and get FREE access to BenefitsPRO.com, part of your ALM digital membership.

Your access to unlimited BenefitsPRO.com content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Critical BenefitsPRO.com information including cutting edge post-reform success strategies, access to educational webcasts and videos, resources from industry leaders, and informative Newsletters.
  • Exclusive discounts on ALM, BenefitsPRO magazine and BenefitsPRO.com events.
  • Access to other award-winning ALM websites including ThinkAdvisor.com and Law.com

Already have an account?


NOT FOR REPRINT

© 2023 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.

BenefitsPRO Broker Expo 2024Event

The premier educational and networking event for employee benefits brokers and agents.

Get More Information
 

BenefitsPRO

Join BenefitsPRO

Don’t miss crucial news and insights you need to navigate the shifting employee benefits industry. Join BenefitsPRO.com now!

  • Unlimited access to BenefitsPRO.com - your roadmap to thriving in a disrupted environment
  • Access to other award-winning ALM websites including ThinkAdvisor.com and Law.com
  • Exclusive discounts on BenefitsPRO.com and ALM events.

Already have an account? Sign In Now
Join BenefitsPRO

Copyright © 2023 ALM Global, LLC. All Rights Reserved.