Artificial Intelligence (A.I.) Growing Immergence in Medicare

A.I. has become a pivotal aid for daily life. We use A.I. when talking to Siri, Amazon’s Alexa, or chat GPT to gain recommendations on what to write about a topic or event. This technology is changing the digital landscape by automating the processes of ad targeting, lead generation, SEO and evaluating/ organizing complex data. Although, these automations can be helpful, especially for healthcare professionals, they must be regulated and monitored closely for optimal efficiency and efficacy.

Several A.I. tools assist in Medicare procedures, including automated data management, streamlining patient records and administrative tasks, and reducing errors to ensure data accuracy.

A tool utilized by multiple websites and facilitated customer service is Chatbots. They use their AI and machine learning capabilities to answer basic questions and fulfill orders online. They help consumers navigate a company’s webpage and provide engagement, especially towards Seniors. Bots are different than live chat software because they respond on their own automated responses and are customizable to handle varying conversations. Even though these chatbots are emerging, many consumers prefer to talk to an individual rather than a robot or A.I. It is essential to engage consumer’s different needs and preferences.

Bots have crucial characteristics and capabilities that set them apart in assisting professionals in the healthcare/Medicare industry.

  1. Contextual Responses- Chatbots use natural language processing (NLP) to deliver responses as an actual person would.
  2. Human Handover- When a bot doesn’t understand a question, they can hand conversations to human support.
  3. User Experience- Bots make the navigation process quicker and generate simple answers.
  4. Machine Learning Capabilities- They answer in real-time and can respond to different text, tones, and languages.
  5. Text and Image Detection- Bots can detect text, images, and carousels on the web, which can be very useful to SEO Optimization.

Another immerging A.I. tool assisting with Medicare is Authenticx, which can provide insights from healthcare data to medical professionals; it fills in the gaps in the complexities of the healthcare customer experience by recording conversations. Like voice A.I., Authenticx combines customer interactions cross calls, texts, chat, emails and analyzes crucial insights to provide better service.

AI helps predict outcomes and solutions, especially in Medicare Beneficiaries. The Centers for Medicare & Medicaid Services (CMS) launched on April 30, 2023, and Artificial Intelligence (AI) Health Outcomes Challenge (“AI Challenge”) to find how developers can optimize AI tech to predict patient health events for Medicare Beneficiaries. CMS received more than 300 applicants, and the winner generated the best predictive algorithm for a 12-month mortality rate of Medicare Beneficiaries.

In the future, we will see more predictive and complex algorithms that determine outcomes for patients A.I. provides a crucial role into analyzing the data and making recommendations, especially for emerging Medicare Clients.

A.I. should be regulated and monitored closely. Although it is a beneficial tool and is making waves in all industries, A.I. algorithms and software’s should be updated and edited to help users have the best experience possible. After all, we need some level of humanity.