Are Health Plans Relying on AI to Reduce Cost and Increase Speed in the Claims Process?
Many health plans are still struggling to improve speed, accuracy and efficiency without Advanced AI. In a recent survey conducted by Shift, health payors shared insights into their current claims processes, and how AI can propel them towards their goals.
Key Findings
Current processes and opportunities
- 57% of respondents claim they are using manual or rules based review tactics
- 60% suffered from lengthy investigation times
- 61% believe there are untapped cost savings or avoidance opportunities beyond what is identified by their current solutions
- 51% said they could use Advanced AI to reduce operational costs
Advanced AI overcoming payment integrity challenges
Which aspect of your plan’s payment integrity strategy is in most need of improvement?
- 29% Policy management and administration
- 23% Pre-payment decisioning process
- 20% Data management, collaboration and analytics capabilities
- 14% Cost management and reduction
- 14% Regulatory compliance and reporting
