AI将平台的利用管理工作量削减高达60%,速度审查确保合规。 AI platform cuts utilization management workload by up to 60%, speeds reviews, ensures compliance.

GenHealth.ai和《指导健康》报告说,利用AI-Native平台使从各种来源提取的数据自动化,并采用临床和行政政策,使利用率管理工作量减少了60%。 GenHealth.ai and Guidehealth reported up to a 60% reduction in utilization management workload using an AI-native platform that automates data extraction from diverse sources and applies clinical and administrative policies. 该系统产生90%以上一致性的决定,每个熟练护理设施平均节省一小时,10分钟内完成审查。 The system generates decisions with over 90% consistency, saves an average of one hour per skilled nursing facility case, and completes reviews in under ten minutes. 它通过详细引用和透明、可审计的产出确保遵守内容管理系统、国家质量评估以及国家法规。 It ensures compliance with CMS, NCQA, and state regulations through detailed citations and transparent, auditable outputs. 该试点在多个护理环境中处理了数千个病例,并计划扩展到行为健康和药物使用紊乱症服务。 The pilot processed thousands of cases across multiple care settings, with plans to expand into behavioral health and substance use disorder services.