Healthcare payers face the dual challenge of enhancing member services while reducing operational costs in an ever-evolving tech landscape. While many turn to digital solutions, such transformations can be costly and time-consuming. At Emids, we help you leverage low-code platforms to unlock AI’s potential, streamlining operations and improving care delivery—faster and at a fraction of the cost.
The Power of Low-Code and AI in Healthcare
Low-code platforms are a game changer in the digital transformation landscape, offering healthcare payers the means to develop applications quickly and cost-effectively. Low-code solutions utilize pre-built modules and drag-and-drop interfaces, significantly reducing development time and cost while increasing quality. This has enabled healthcare organizations to deploy services at unprecedented speed, allowing them to adapt swiftly to changing market demands and regulatory landscapes.
The integration of AI with low-code platforms allows healthcare payers to harness advanced technologies without the complexity typically associated with AI deployment. AI capabilities can be built into low-code applications, so payers can automate routine processes, derive insights from vast datasets, and deliver personalized member experiences. This synergy between low-code and AI helps payers optimize their operations and improve care delivery, while streamlining AI governance.
Improving Claims Processing
AI-powered claims processing systems built on a low-code platform can save time and minimize errors. One Emids client saw a 40% reduction in processing time and a 25% decrease in errors. This allowed them to reduce their cost margins and enhance member satisfaction through faster claim resolutions. Furthermore, low-code enabled them to deliver the solution in 33% of the original time and cost.
Personalizing Member Engagement
AI can create personalized health engagement plans, tailor recommendations based on member health data. This led to a 30% increase in member participation in wellness programs and a corresponding decrease in chronic condition incidents for an Emids client. Low-code resulted in half the cost and half the time to market than originally forecast.
Automating Fraud Detection
With AI-driven analytics integrated into a low-code framework, fraud detection processes can be automated to identify and mitigate fraudulent activities more effectively. This approach safeguards financial assets and preserves member trust and integrity. By deploying AI within Low-Code based solutions, AI governance is built-in.
Low-code platforms, when combined with AI, offer healthcare payers a powerful toolkit for automation and enhanced care delivery. By streamlining processes, optimizing services, and deploying AI solutions with ease, payers can address operational inefficiencies while meeting the evolving needs of their members. This approach not only drives immediate benefits in terms of cost savings and efficiency but also paves the way for sustainable growth and innovation in the healthcare sector while safely leveraging AI.
To unlock the full potential of low-code and AI in your operations, consider partnering with experts like Emids. With over 20 years of experience transforming healthcare for leading payers, we provide customized solutions tailored to your unique needs. Over just three years, we’ve delivered more than USD 50 million in savings to our customers by deploying intelligent automation. Let us help you bridge the gap between cost optimization and innovation through low-code solutions. Together, we can craft a strategic approach that meets your cost-effective care goals, enhances member care and supports sustainable growth for your plan.