AI In Focus: The Healthcare Technology Roadmap

Report: 100 Healthcare Execs On The Impact of AI On Healthcare Insurance Fraud Health insurers are more than twice as likely to investigate providers’ claims for fraud, waste and abuse (FWA) after payment than before. In AI In Focus: The Healthcare Technology Roadmap, a PYMNTS and Brighterion collaboration, 100 health executives discuss how AI-based tools are helping insurers spot suspicious patterns in real time.
Inside the September Playbook
  • 71 percent: Share of health insurers that plan to invest in AI tools for payment integrity purposes within the next three years
  • 97 percent: Portion of health insurers that believe it is highly important for AI tools to adapt to changing claims data behavior
  • 86 percent: Share of AI-using health insurers that employ in-house solutions to identify FWA

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