Using AI To Improve Employer-Sponsored Insurance

Source Domain: www.forbes.com

Artificial intelligence (AI) offers many opportunities to reshape health care delivery and access. In recent years, leaders across the health care industry have welcomed the AI boom and its promise to streamline administrative tasks and create efficiencies in provider workflows – ultimately empowering frontline clinicians to spend more time interacting with patients and delivering timely care.

This represents a tremendous advantage in employer-sponsored health care. Half of the U.S. population (160 million people) receives coverage from their workplace – and employers collectively invest $1 trillion in health care offerings to ensure that their employees have reliable access to high-quality care.

But these investments haven’t translated to better care outcomes or an improved patient experience. Individual factors can lead to significant variations in both health care access and outcomes. At the same time, the average employer is experiencing double-digit cost increases for their health benefits.

As American businesses grapple with rising costs and the need for more personalized, effective care, AI-driven clinical solutions are emerging as essential tools in the benefits arsenal. The deployment of AI can drive towards better clinical outcomes and ultimately improve the quality, affordability and equity of employer-sponsored health care.

Here are five key opportunities:

Clinical Decision Support for Evidence-Backed Care: One of the most promising applications of AI is in clinical decision support. By analyzing patient histories, the latest medical literature and outcomes from similar cases, AI can recommend treatment protocols that are both evidence-based and tailored to individual needs. This not only helps clinicians make more informed decisions but also may ensure employees receive care that is proven to work – reducing unnecessary procedures and improving recovery rates. Tools like Embold’s Virtual Assistant use AI to review clinical data and directly…

Source