However, the use of this technology to authorize and approve care must be accompanied by checks and balances that ensure appropriate and ethical use. That includes:
• Verifying the accuracy of AI models
• Using expansive and high-quality datasets to train models to ensure patient safety and health
• Assigning humans to validate AI decisions

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• Creating processes to identify and correct biases in algorithms
Circumventing these critical checks could have serious – and even life-threatening – consequences if AI algorithms deny appropriate and necessary care.
A year of growth
The coming year will be a time of rapid growth for VBC, marked by a commitment to ethical AI use, streamlined administrative processes, and more efficient and effective prior authorization processes. Payers and providers embracing these trends are well-positioned to enhance patient care, reduce costs, and contribute to the ongoing evolution of the healthcare industry toward a value-driven and patient-centric model.
About the author: David L. Morris is the EVP & chief commercial officer at Cedar Gate Technologies.Back to HCB News