How health plans can achieve next-level cost efficiencies using artificial intelligence and analytics

HFMA April 20, 2019
Emad Rizk, MD

* For health plans, addressing high utilization by members no longer is sufficient to address rising costs.

* Health plans should consider implementing predictive analytics to manage risk.

* Incorporating artificial intelligence into administrative functions also can be a cog in cost-transformation efforts.

For health plans, developing a data-smart approach to cost reduction typically means analyzing data to identify high-cost members and more effectively engage them in their care. With healthcare costs projected to rise 6 percent this year, however, it’s clear that new approaches are needed. One emerging trend is using predictive analytics and artificial intelligence (AI) to bend the cost curve.

How can health plans most effectively achieve cost transformation with AI and predictive analytics, and where do...

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