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Healthcare, arguably, employs one of the most important workforces in the world. It’s critical to the well-being of the country and affects every American throughout their life. However, the U.S. is facing a growing shortage of physicians, advanced practice providers (APPs), and nurses that cannot be addressed with conventional means. Weathering this storm will require…
Healthcare organizations are facing a perfect storm: rising claim denials, evolving payer rules, and patients expecting providers to reduce error rates that impact patient billing accuracy. Artificial intelligence (AI) has raised the stakes, causing revenue cycle leaders to feel the pressure to modernize quickly. According to Experian Health’s State of Claims 2025 survey, 73% of…
Challenge: Manual authorizations couldn’t scale with demand Manual workflows were no match for MetroHealth’s growing prior authorization demands. With more than 300,000 patients coming through the doors each year, staff at the MetroHealth system spent their days manually chasing requests and approvals through phone calls and payer portals. Without a reliable way to track approvals,…
Healthcare organizations are using AI more than ever before, but plenty of questions remain when it comes to ensuring the safe, responsible use of these models. Industry leaders are still working to figure out how to best address concerns about algorithmic bias, as well as liability if an AI recommendation ends up being wrong. During…
AI agents — autonomous, task-specific systems designed to perform functions with little or no human intervention — are gaining traction in the healthcare world. The industry is under massive pressure to lower costs without compromising care quality, and health tech experts believe agentic AI could be a scalable solution that can help with this arduous…
