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Prior Authorization and Utilization Management (UM) practices are a key driver of member retention and satisfaction, and also a significant opportunity to differentiate your plan in the market. Stanson Health, a PINC AITM Solution, will discuss the major factors to adopting clinically focused AI in a way that dramatically improves your UM processes, and at the same time retains the goal of appropriate utilization.
In this webinar, registrants will learn:
- Why ‘black box’ AI models are not sufficient
- How to integrate AI within your existing UM system
- How to achieve massive scale: 1M+ documents per month
- How to earn clinical, legal and financial trust
- How to optimize clinical labor with workflow by exception only