Can AI Address Health Care’s Red-Tape Problem?

Can AI Address Health Care’s Red-Tape Problem?

productivity in the United States’ health care industry is declining – and has been ever since World War II. As the cost of treating patients continues to rise, life expectancies in America are beginning to fall. But there is mounting evidence that Artificial Intelligence (AI) can begin to reverse the downward spiral in productivity by automating the system’s labyrinth of labor-intensive, inefficient administrative tasks, many of which have little to do with treating patients. Administrative and operational inefficiencies account for nearly one third of the U.S. health care system’s $3 trillion in annual costs. Labor is the industry’s single largest operating expense, with six out of every 10 people who work in health care never interacting with patients. Even those who do can spend as little as 27% of their time working directly with patients. The rest is spent in front of computers, performing administrative tasks. Using AI-powered tools capable of processing vast amounts of data and making real-time recommendations, some hospitals and insurers are discovering that they can reduce administrative hours, especially in the areas of regulatory documentation and fraudulent claims. This allows health care employees to devote more of their time to patients and focus on meeting their needs more efficiently. Here are some examples of where AI can find efficiencies: faster hospital bed assignments, improved documentation and automated fraud detection.

Productivity in the United States’ health care industry is declining — and has been ever since World War II. As the cost of treating patients continues to rise, life expectancy in America is beginning to fall. But there is mounting evidence that Artificial Intelligence (AI) can reverse the downward spiral in productivity by automating the system’s labyrinth of labor-intensive, inefficient administrative tasks, many of which have little to do with treating patients.

Administrative and operational inefficiencies account for nearly one third of the U.S. health care system’s $3 trillion in annual costs. Labor is the industry’s single largest operating expense, with six out of every 10 people who work in health care never interacting with patients. Even those who do can spend as little as 27% of their time working directly with patients. The rest is spent in front of computers, performing administrative tasks.

Using AI-powered tools capable of processing vast amounts of data and making real-time recommendations, some hospitals and insurers are discovering that they can reduce administrative hours, especially in the areas of regulatory documentation and fraudulent claims. This allows health care employees to devote more of their time to patients and focus on meeting their needs more efficiently.

To be sure, as we’ve seen with the adoption of electronic health records (EHR), the health care industry has a track record of dragging its feet when it comes to adopting new technologies — and for failing to maximize efficiency gains from new technologies. It was among the last industries to accept the need to digitize, and by and large has designed digital systems that doctors and medical staff dislike,  contributing to warnings about burnout in the industry.

Adopting AI, however, doesn’t require the Herculean effort electronic health records (EHRs) did. Where EHRs required billions of dollars in investment and multi-year commitments from health systems, AI is more about targeted solutions. It involves productivity improvements made in increments by individual organizations without the prerequisite collaboration and standardization across health care players required with EHR adoption.

Indeed, AI solutions dealing with cost-cutting and reducing bureaucracy — where AI could have the biggest impact on productivity — are already producing the kind of internal gains that suggest much more is possible in health care players’ back offices.

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