HIMSSCast: Payers and providers gird for an escalating AI prior auth arms race (brought to you by SuperDial)
About this episode
The episode discusses the competition between payers and providers in adopting AI for prior authorization and its implications for healthcare.
As health plans expand their use of artificial intelligence for utilization review, hospitals and health systems are adopting AI tools of their own – for documentation, coding automation, denial prediction and more – in an effort to level the playing field. But in an era of aspiration toward value-based reimbursement and of consumer-focused price transparency efforts, could this arms race be cooled for the good of all? Instead of a battle with leading-edge technologies on both sides, can paye...
Topics covered
- artificial intelligence
- healthcare
- utilization review
- value-based reimbursement
- price transparency
- health plans
- hospitals
Sponsors
SuperDial
Mentioned in this episode
Organizations: health plans, hospitals, health systems, artificial intelligence, value-based reimbursement, consumer-focused price transparency
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