Fierce Health Payer July 22, 2019
AI and blockchain technologies can eliminate manual steps within data-intensive processes.
The healthcare industry has spent the past two decades investing in and adopting technology solutions to reduce costs and improve patient care.
However, the road to payer-provider collaboration continues to be pockmarked by manually driven systems and processes that were not designed to adapt to the needs of a rapidly changing healthcare system. Automated solutions have not solved the problem due to variation in the way point-of-care solutions work and the formats being used by systems, sometimes even within the same electronic health records system.
Few processes exemplify this challenge better than revenue cycle management, specifically prior authorizations. Designed as a vehicle to manage overutilization, reduce claims denials and shield...