How AI Is Disrupting Our Industry, and What We Can Do About It
How AI Is Disrupting Our Industry, and What We Can Do About It
An Interview With Cynthia Corsetti, originally published in Authority Magazine
An Interview With Cynthia Corsetti, originally published in Authority Magazine
Firstsource Solutions Limited (NSE:FSL, BSE:532809), a leading global provider of specialist domain-led Business Process Services (BPS) and an RP-Sanjiv Goenka Group company, has been recognized as a Front-Runner in the Everest Group’s latest report, “AI-deas to Action: Operationalizing Generative AI in Healthcare Payer.” The report assessed select service providers with payer revenues exceeding $100M and extensive coverage across the payer value chain classifying them as ‘Front-runners’, ‘Fast-followers’, and ‘Challengers’.
With high labor costs, low margins and claims denial rates averaging almost 15%, according to the American Hospital Association, providers need new approaches to effective revenue cycle management. Automation and AI tools can increase productivity, reduce the cost to collect and accelerate revenues. The keys to success today are agentic workflows and generative AI.
Insurers face persistent challenges like claims administration and managing contact center costs. Generative AI offers opportunities to simplify workflows.
Medicaid redetermination isn’t going smoothly. As of late December 2023, the Kaiser Family Foundation found that 71% of Medicaid disenrollments nationwide were for procedural reasons. That means patients are losing coverage because they filled out a form incorrectly or missed a deadline, not because they’re truly ineligible for renewal.
Ritesh Idnani, MD & CEO, Firstsource in conversation with ET Now on the FY24 Q3 Earnings Result
As states disenroll millions of individuals from their Medicaid rolls, small and medium sized health plans with managed Medicaid plans face multiple risks. Their Medicaid members are losing access to care, many of them erroneously, with 72% of membersbeing disenrolled for procedural reasons.
Healthcare providers are feeling the industry’s talent shortage in their administrative functions as well as clinical areas. One case in point: revenue cycle management. In a recent study, 63% of healthcare providers reported an inability to fill key revenue management roles.
In an era when consumers may digitally apply for mortgages, buy vehicles, trade stocks and transfer funds easily and securely, the healthcare financial experience is often frustrating for patients and their families. Growing numbers of patients say financial transparency and options for financing care determine which providers they select.
Firstsource Positioned as a ‘Major Contender’ in Everest Group Revenue Cycle Management (RCM) Operations PEAK Matrix® Assessment 2023
Mumbai, India | November 02, 2023: Firstsource Solutions Limited (NSE: FSL, BSE:532809), a global provider of Business Process Management (BPM) services and an RP-Sanjiv Goenka Group company, has been positioned as a ‘Major Contender’ in Everest Group Revenue Cycle Management (RCM) Operations PEAK Matrix® Assessment 2023.