target audience: TECH BUYER Publication date: Jan 2023 - Document type: IDC Perspective - Doc Document number: # US49995322
Deep Dive: Artificial Intelligence for Payer Use Cases
Table of Contents
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Executive Snapshot
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Figure: Executive Snapshot: Deep Dive — Artificial Intelligence for Payer Use Cases
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Situation Overview
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Digital Patient Experience
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Preventing Adverse Drug Events
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Prescription Benefit Management
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Medication Adherence
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Chronic Disease Management/Alerting Providers to Patient Deterioration
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Population Health
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Early Disease Identification — Identifying Undiagnosed Conditions and Intervention Support
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Population Risk Modeling/Stratification
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Digital Administrative Experience
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Prior Authorization
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The Triage Engine
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The Authorization Automation Engine
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Conversational AI
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Sales Center Conversational AI
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Service Center Conversational AI
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Call Routing
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Claims Settlement
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Fraud Detection/Payment Integrity
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Billing
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Service Clinical Review
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Coordination of Benefits
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Underwriting
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Enrollment — Personalized Health Insurance Policies
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Adoption of AI in Payer Organizations
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Figure: AI Spending in Related Health IT Areas
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Figure: AI Deployment Priorities
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Drawbacks of Using Artificial Intelligence in Health Insurance
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Interpretability
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Data Privacy
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Security
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Ethical/Equity Concerns
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Intellectual Property
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Advice for the Technology Buyer
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Learn More
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Related Research
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Synopsis
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