There are people who have to wait for days, weeks, and months for a complex surgery because it needs prior authorisation from insurance payers. This authorisation involves the review of lots of clinical and insurance policy documents to check whether the procedure is necessary and whether the insurance plan will pay for it.
Now, with Gen AI (generative AI), it could be game changing, it can look at all these documents and can expedite the whole decision-making process,” says Bharat Kumar Damalcheruvu, head of business development & strategy for the Americas, Gen AI Office, at Cognizant.
The healthcare system, he says, still has manual processes and cumbersome administrative workflows that tend to fall on physicians and care teams, taking their time away from patients. “So, there is a growing trend of applying Gen AI in administrative functions to improve the efficiency of healthcare delivery.
Gen AI is capable of aiding healthcare professionals decipher patients’ medical histories and interpret imaging records, genomics, and laboratory results. It achieves this by extracting information from diverse formats and locations, streamlining the decision-making process.
In the long run, Bharat believes Gen AI can help give a boost to precision medicine, treatment personalisation, and drive tremendous progress in patient outcomes. “Mayo Clinic (in the US) is actually experimenting with Gen AI to see how they can leverage it with ECG data, and potentially detect heart failure conditions earlier with their patients,