target audience: TECH BUYER  Publication date: Jan 2023 - Document type: IDC Perspective - Doc  Document number: # US49995322

Deep Dive: Artificial Intelligence for Payer Use Cases

By:  Jeff Rivkin Loading

Content



Related Links

Table of Contents


  • Executive Snapshot

    • Figure: Executive Snapshot: Deep Dive — Artificial Intelligence for Payer Use Cases

  • Situation Overview

    • Digital Patient Experience

    • Preventing Adverse Drug Events

    • Prescription Benefit Management

    • Medication Adherence

    • Chronic Disease Management/Alerting Providers to Patient Deterioration

    • Population Health

    • Early Disease Identification — Identifying Undiagnosed Conditions and Intervention Support

    • Population Risk Modeling/Stratification

    • Digital Administrative Experience

    • Prior Authorization

    • The Triage Engine

    • The Authorization Automation Engine

    • Conversational AI

    • Sales Center Conversational AI

    • Service Center Conversational AI

    • Call Routing

    • Claims Settlement

    • Fraud Detection/Payment Integrity

    • Billing

    • Service Clinical Review

    • Coordination of Benefits

    • Underwriting

    • Enrollment — Personalized Health Insurance Policies

    • Adoption of AI in Payer Organizations

    • Figure: AI Spending in Related Health IT Areas

    • Figure: AI Deployment Priorities

    • Drawbacks of Using Artificial Intelligence in Health Insurance

    • Interpretability

    • Data Privacy

    • Security

    • Ethical/Equity Concerns

    • Intellectual Property

  • Advice for the Technology Buyer

  • Learn More

    • Related Research

    • Synopsis