If you're interested in a platform that uses AI and machine learning to optimize revenue cycle management for health plans, Availity is a good choice. It has a range of solutions for pre-service, post-service and post-adjudication phases, including automated prior authorization and denial management tools. The platform also includes digital correspondence, payment accuracy and real-time collaboration to help improve operational efficiency and patient care.
Another interesting project is Cohere Health, which seeks to revolutionize prior authorization through its Cohere Unify platform. The platform offers automation tools for intake, decisioning, review, optimization and transformation to cut administrative costs and denial rates. It has flexible pricing models, so health plans can choose to license the platform for in-house use or outsource solutions with operational support.
If you're looking for a more comprehensive health cloud platform, check out Innovaccer. It aggregates health data and offers advanced analytics and applications to improve clinical and financial outcomes for a variety of healthcare stakeholders. With AI, Innovaccer automates tasks and uncovers insights so healthcare professionals can focus on patient care. Its data integration and scalability make it a powerful option for optimizing healthcare operations.