Revolutionizing Healthcare with AssureCare's AI-Powered Platform: Introducing OptimAIzer
OptimAIzer: Transforming Population Health Management with AI-Driven Decision Support
OOptimAIzer

OptimAIzer: Transforming Population Health Management with AI-Driven Decision Support

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KEY FEATURES

Revolutionizing Healthcare Decision Support with AI-Powered Precision.

Amplifies physician capacity by more than 50%, yielding greater value and impact.

  • 01Preliminary AI – Recommendations

    AI-based solution giving recommendations on decisions for approval or denial prior to supporting the physician review

    1/6

  • 02Customized Dataset Expertise

    Trained on millions of prior authorization review data (structured & unstructured) and customized for each client-specific data

    2/6

  • 03Near real-time decisions

    Nearly instant recommendations or choices are made by the AI system, minimizing delays and enabling swift decision-making for optimal outcomes.

    3/6

  • 04Selective Decision Modes

    Customized to accept approval only or approval & denial decisions

    4/6

  • 05Post-Decision Automation

    Automation of reviews post-decision, saves time for both physicians and nurses

    5/6

  • 06Seamless Integration

    Integrates seamlessly into the current solution and operational model

    6/6

See how a digitally connected platform can help your organization positively impact a patient life.

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group of medical professionals huddled in a discussion about patient outcomes using care management software

Model Performance 

  1. Increase valuable physician capacity by more than 50%
  2. Increase nurse efficiency by 25%
  3. Reduce UM operations cost significantly
  4. Improve overall turnaround times on reviews
  5. Increase compliance

Clinical Review Detail

Enhancing Healthcare Authorization Processes with Machine Learning

  • Provider Delays and Adverse Events: Over 80% of providers face care delays due to sluggish authorizations, with over a third reporting serious adverse events as a consequence.
  • NE Baptist AI-Pilot: AI-implementation at NE Baptist cut review time from 9 days to under 1 day.
  • CAHQ Estimate: Automation can save staff 16 minutes per transaction, enhancing throughput and patient safety.
  • Resource Diversion: Providers invest almost 13 hours weekly on paperwork, not patient engagement; streamlined workflows restore resources to patient care.
  • Administrative Cost Culprit: A recent Washington Post/McKinsey report identifies prior authorizations as a key driver of avoidable administrative expenses.
  • AI’s Potential Impact: A 2022 McKinsey analysis suggests AI could automate 75% of manual authorization tasks.

Who We Serve

Payors
Providers
Pharmacies
Government

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