Updated: Jun 6
Healthcare in the U.S. is in dire need of reform. The current subjective approach to healthcare administration creates misaligned incentives between key stakeholders such as payers, providers, and pharmaceutical companies. The resulting friction draws time and resources away from patient care. Days are spent processing requests for treatment rather than administering treatment. Lives are lost and patients suffer. The primary cause of this issue is the lack of transparent communication and an objective method to determine the care patients need.
A major bottleneck in healthcare delivery is prior authorization, a time-consuming process that leaves patients uninformed and delays their access to essential care. Doctors' valuable time is spent filing requests instead of directly caring for patients, while insurance companies face staffing and process limitations that lead to lengthy approval times. These inefficiencies increase temporal and financial costs, adversely affecting patients.
Amber Nigam, basys.ai's CEO, presents a transformative solution in his TEDx talk on the role of artificial intelligence (AI) in healthcare. By leveraging AI, basys significantly accelerates the prior authorization process, reducing insurance costs, improving patient outcomes, and allowing doctors to prioritize patient care.
Since stakeholder representation is crucial to build transparency, basys' platform supports the needs of both payers and providers. The platform assists payers by incorporating advanced techniques like Natural Language Processing (NLP) and Large Language Models (LLMs) into its algorithm. These models analyze payer policies, resulting in a more accurate and expedited process. The platform also empowers healthcare providers by utilizing AI to identify disease progressions within patient data. This data analysis enables providers to make more accurate treatment requests, improving patient outcomes and reducing delays and denials.
The strategic implementation of AI has the potential to make U.S. healthcare transparent and patient-centric. Establishing clear algorithmic guidelines is crucial to avoid undermining progress. basys defines the guardrails of its algorithm based on the guidelines of leading medical associations such as the American Diabetes Association (ADA), American College of Cardiology (ACC), and American Cancer Society (ACS). Our dedication to the responsible practice of medicine has earned us an invitation to present our work at the 2023 ADA National Symposium. Involving the right stakeholders during development and implementation is also essential. basys collaborates with renowned institutions like Mayo Clinic and one of the largest pharmaceutical companies in the world to provide a neutral platform that takes into account the perspectives of all stakeholders. This alignment ultimately improves patient outcomes and paves the way for more efficient healthcare delivery. We encourage you to watch Amber's Tedx talk to learn more about how basys is putting patients first.