Transforming Healthcare Payers with AI & Automated Machine Learning
Advanced enterprise AI capabilities have the potential to transform both care management and back office innovations that can significantly improve both member outcomes and costs. These innovations can enhance the detection of Fraud, Waste, and Abuse (FWA) by targeting care management resources to the right members, predicting high-cost episodes of care to better utilize in-network resources, and reducing member churn in the Medicare Advantage space.
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