Transform NOW

172. AI Ushers in Next-Gen Prior Authorization in Healthcare


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On this podcast, Brad speaks with Dr. Mahi Rayasam, partner at McKinsey & Company, who explains how artificial intelligence can make a huge difference in this area and why now is the appropriate time to pursue it.

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Here’s what we talked with Mahi about:

* The role of AI in healthcare today

* Why the prior authorization process is ripe for automation

* What specific AI and automation technologies can be leveraged to make the prior authorization better

* What prior authorization can look like with AI applied to it

* The primary benefits of automation and AI in the prior authorization process for providers, payers and patients

* The importance of skilled human decision points in this process

* The challenges healthcare providers and payer need to overcome in order to take advantage of automation and AI

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