In-person event sparks dynamic discussions about the potential
and challenges of adopting AI and generative AI to manage
healthcare costs efficiently and effectively
DULUTH,
Ga., July 11, 2024 /PRNewswire-PRWeb/
-- The AI for PI Community, the premier group for healthcare
payment integrity professionals seeking to learn about and
accelerate the adoption of artificial intelligence (AI) to improve
payment accuracy and reduce fraud, waste, abuse, and
error, concluded an in-person summit specifically focused on AI in
the payment integrity industry. Held June
6 and 7 in Atlanta, the AI
Summit featuring industry experts from across the payment integrity
and healthcare cost containment ecosystem, including policy makers,
academics, healthcare payer and PBM executives, and top AI experts
and solution providers.
"It was very exciting to see attendees,
academics, and innovators coming together to share AI successes,
concerns, and challenges for payment integrity and for healthcare
organizations at large."
The agenda focused on many of the industry's most pressing
topics:
- Latest breakthroughs in generative AI and its implications on
healthcare
- Best practices for building a compelling business case,
evaluating solutions, and implementing them effectively
- Necessary people, process, and technology changes for the
successful adoption of AI
- Regulatory and technical risks associated with implementing AI
solutions
- Necessary governance to ensure ethical use and application of
AI
- Regulatory and legislative considerations for healthcare
providers and consumers
Key Takeaways Highlight AI Adoption Enthusiasm and a Call for
Industry-Wide Collaboration
The summit spurred critical discussions from various presenters,
interactive conversations among attendees, and Q&As. Key
insights uncovered at the summit include:
- Data still dominates: Healthcare data is highly complex yet
essential for advancing healthcare cost containment and requires
good, clean, aggregated data to help with transparency, decision
making, and innovation. This proves to still be a major
challenge.
- Healthcare payment integrity AI solutions are being adopted
cautiously and thoughtfully: Organizations are at different phases
of AI adoption, with most still trying to validate use cases and
prove ROI. Many are readily seeking more information, relevant
industry examples, and implementation roadmaps to advance their
payment integrity programs with greater AI automation.
- Success with AI technology adoption exists: Those who have
successfully achieved some level of AI adoption emphasized the
importance of obtaining buy-in early, delivering appropriate
training, establishing governance, and demonstrating the value AI
solutions bring to the organization.
- Governance is critical: While varying levels of AI application
adoption exist, experts agree the right guardrails must be in place
to ensure the ethical use and application of AI and generative
AI.
- Privacy and security around data sharing persists: Protecting
data is paramount. Healthcare organizations and vendors must work
together to ensure data is secure and does not put personal health
information (PHI) at risk.
"The discussions focused on business use cases and
considerations for implementing AI, especially within payment
integrity, were incredibly beneficial and educational. Healthcare
AI is evolving so rapidly that it's important for everyone involved
with healthcare payment integrity to get out of their silos and
better understand the business impacts of AI," stated Sean Kelly, Director of Cyber Governance, Risk,
and Controls, and Data Protection at Highmark Health.
Leaders and Technology Experts Offer Fresh Insights and
Practical Tips on Using AI to Transform Outcomes
Congressman David Schweikert
delivered a powerful keynote on "AI for Improved Healthcare
Outcomes," sharing his unique perspective on how AI can
revolutionize the industry by enhancing patient care and making
complex healthcare costs easier to understand. Schweikert
emphasized the importance of transparency and the role of AI in
driving down expenses to create a more equitable healthcare
system.
Other industry leaders on the agenda representing a variety of
leading healthcare organizations included Highmark Health, Centene,
Elevance Health, Capital Rx, BlueCross BlueShield South Carolina,
BlueCross Blue Shield of North
Carolina, BlueCross BlueShield of Louisiana, Health First, and many more.
"The AI Summit for Payment Integrity Professionals was a huge
success and not just because of the stellar guest speaker lineup.
There seemed to be an enormous benefit for the attendees to come
together and have open and candid discussions, realizing that many
in the payment integrity space are still early in their adoption of
AI," stated Dr. Musheer Ahmed,
Founder of the AI for PI Community and CEO of Codoxo. "It was very
exciting to see attendees, academics, and innovators coming
together to share AI successes, concerns, and challenges for
payment integrity and for healthcare organizations at large. We are
proud to be a part of this necessary collaborative effort to join
together a growing community."
AI Summit sponsors and partners included AWS, HealthEdge, Wipro
and DRG Claims Management.
For more information, check out Codoxo's recent blog,
"Transformative Insights from the 'AI for Payment Integrity' Summit
Ignite Optimism for the Future of Healthcare Cost Containment." To
learn more and stay connected, payment integrity professionals and
industry stakeholders are encouraged to join the private community
at the AI for PI LinkedIn Group and follow the public AI for PI
LinkedIn Page.
About the AI for PI Community
The AI for PI Community brings together healthcare payment
integrity professionals to learn about and accelerate the adoption
of artificial intelligence technologies and solutions that
collectively and actionably reduce the rising cost of care. Through
education, networking, and shared best practices and use cases, AI
for PI aims to inform and inspire thousands of healthcare payer,
government agency, and pharmacy benefit manager (PBM) teams seeking
innovative "shift-left" strategies that safeguard their bottom
lines and contribute to a less costly U.S. healthcare system.
Media Contact
Ronda Duncan, Codoxo, 8472549782,
rduncan@springmarketinggroup.com, https://www.codoxo.com
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SOURCE Codoxo