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Dr. Michael Gao

👤 Speaker
345 total appearances

Appearances Over Time

Podcast Appearances

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

And so you provide a lot of care.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

All the sort of notes on the care goes into a binder.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

And to get paid on that care, you couldn't FedEx the binder to a payer and say, like, please read through this and figure it out.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

And so you come up with effectively shorthand to compress that binder into sort of a set of codes that correspond to payment.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

And I think that sort of initially with kind of software, it actually...

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

didn't transform the process.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

It just recreated that process in a digital way.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

So now instead of... So all the complexity was still there.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

All the complexity is still there.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

So, you know, now instead of paper, you have electronic charts, but you're still going kind of tab by tab.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

Instead of a stack of binders, you have a priority list and a work queue on some piece of software.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

But fundamentally, you know, it's still a person going through each chart and kind of doing all of that work.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

And I think with...

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

And then kind of the second part is that they have to – kind of each payer receives information in a slightly different way, has slightly different requirements.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

And so it took a lot of human intelligence to understand those patterns.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

Sure.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

United wants it this way and Aetna wants it that way.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

Exactly.

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

And now with AI, I think there's a transformation, which is it's not just –

Vanguards of Health Care by Bloomberg Intelligence
Smarter Technologies’ Blueprint for AI-Driven Revenue Cycle Management

humans doing the work, but switching from a paper medium to an electronic medium, it's that AI can take a first pass at doing the work and humans can actually just supervise that.