Page 28 - August 2018 Disruption Report Flip Book

TRANSFORMING THE FINANCIAL ECOSYSTEM JAUNGUUASRTY 22001188
FIGURE 1: US health plans can unlock up to
U.S. HEALTH PLANS CAN UNLOCK $7 BILLION IN OPERATING
$7 billion in operating income from six capabilities
INCOME WITH AI
Manage Membership

3
Business Insider’s Laurie Beaver and Nicky Lineweaver wrote:
U.S. health insurers could free up about $7 billion in operating income in just 18 months by using AI to augment or automate administrative duties, according to new research from Accenture. Customer interactions, billing, and reimbursement are three key areas where AI could unlock a combined $4.5 billion in savings. It’s not surprising that administration represents such
Manage Customer Interactions
Apply “intelligence” to effectively anticipate and respond to customer demands
$2.1 billion
and Billing
Accelerate onboarding of customers and members while enhancing ability to advance product design
$1.4 billion
$7 billion
Manage and Support Reimbursement
Intelligently automate and redefine
claims processing and reviews
$1.1 billion
Manage Quality Improvement and Compliance
Effectively ensure quality and compliance via automated reporting and regulatory updates
$0.5 billion
Source: Accenture analysis
Perform Health Management
Elevate ability to engage members and improve outcomes with intelligent solutions
$0.9 billion
Manage Network and Providers
Streamline, with greater accuracy, processes associated to network management
$1.0 billion
© 2018 by Canfield Press, LLC. All rights reserved.
www.canfieldpress.com 29
20%

16%
30%
14%
7%
13%