AI for Healthcare Payers BG v.1.1

AI for Healthcare Payers

Improving Operational Excellence, Member Experience, and Efficiency

Advanced enterprise AI capabilities have the potential to transform both care management and back office innovations that can significantly improve both member outcomes and the cost of care. These innovations can enhance the detection of Fraud, Waste, and Abuse (FWA), 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.

Download this ebook to find out about:

  • The current trends in AI for healthcare payers
  • Specific use cases that impact operational efficiency and member experience
  • AI monitoring and management capabilities that healthcare payers need to drive wider adoption of AI throughout the organization
DataRobot's platform makes my work exciting, my job fun, and the results more accurate and timely – it's almost like magic!
Omair Tariq
Omair Tariq

Data Analyst, Symphony Post Acute Network

We are using DataRobot to make some pretty huge decisions at Steward Health Care. It’s very much a part of our growth strategy. It’s uncharted territory for healthcare.
Erin Sullivan
Erin Sullivan

Executive Director, Steward Health Care

We see DataRobot as a competitive advantage in healthcare. How else are you going to improve quality rates, or drive down medical costs, or reduce member churn, if not AI? It's an obvious choice.
Steve Prewitt
Steve Prewitt

Chief Analytics Officer, HealthFirst