AI-Powered Healthcare Insurance

AI-Powered Healthcare Insurance

As advancements in AI are spreading rapidly across several sectors, the insurance sector is not at all resistant to its impact either. In fact, it is foreseen that the insurance domain will soon move from the “detect and repair” approach to “predict and mitigate”. Healthcare is already on the path of moving from illness management to wellness management using a proactive, leveraging, and predictive modeling approach. Amid this, AI also unlocks avenues to infiltrate health insurance. According to the latest McKinsey report, 72% of health insurance companies are looking forward to heavily investing in AI for the coming year.

Definition

Along with the other sub-arenas in healthcare, Health insurance is identified as a basic necessity for patients. Bearing the medical expenses that arise due to an illness, including hospitalization costs, medicines, and doctor consultation is somewhere challenging for maximum patients. Health insurance plans came as a savior and a ray of hope. To improve health outcomes further, insurance companies are trying to improve claim ratios and provide a better effortless experience for patients.

Few visionary improvements provided by AI-powered health insurance :
  • AI-powered cognitive systems can help case managers efficiently screen cases, evaluate them with greater precision, and make informed decisions.
  • reduce claim denials and improve workflows in the billing and insurance cycle
  • improve health outcomes and lower claims costs, ensuring high customer satisfaction.
  • A wide range of manual tasks will be automated.
  • Time and cost-saving for both patients and health insurers
  • Increasing profitability due to more accurate customer pricing and reduced fraudulent claims
  • Using intelligent technologies, Health insurers are expected to provide personalized health insurance plans for patients.


However, the reasons for the slow adoption of advanced AI in health insurance can be identified as the uncertainty about practical use cases, gaps in technology expertise within organizations, or a lack of transparency regarding the available data

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