Enso for Healthcare

Healthcare and Life Sciences

The Healthcare and Life Sciences industries are witnessing tremendous change around business models, delivery, regulatory requirements and customer expectations. There is an increased pressure to deliver superior health outcomes, comply with complex regulations, match patient and customer expectation and drastically reduce the cost of care. 

Healthcare ecosystem players seeking to dominate the evolving healthcare landscape should take advantage of the vast quantity of enterprise data being generated to orchestrate successful digital operating models that enable delivery of superior results. 

Exponential AI enables healthcare organizations to increase patient engagement, improve complex decision making, reduce operational expenses to drive superior health outcomes and support digital scale operations by leveraging AI. 

Using Exponential AI’s Enso platform, industry leaders have been able to deploy intelligent automation solutions in production for medical chart digitization and abstraction,  patient engagement, claim adjudication, adverse event reporting, and more.

Case Studies

Automation of Adverse Event Reporting for a top 5 bio-pharma company

Problem 

Our client was looking to automate the identification of adverse events for drugs from medical literature. AER is manually intensive process with less than 3% of documents containing actual adverse events related to a drug. The company sought to reduce manual efforts, improve efficiencies and reduce costs.

Solution

Exponential AI worked with its client, identifying adverse events from medical literature documents. A total of 200,000 records across specialties and geographies were used to train machine learning classification models to provide class recommendation of adverse event detection decisions. Classification was based on identification of key information like patient details, medication history and drug details, and time series data about different medical events. The solution intelligently determined whether a case qualifies under the umbrella of “adverse events” as defined by FDA guidelines.

Result 

  • Saving more than $5M annually
  • Average time to process reduced by 40%
  • ROI – 4 months

Automation of Release of Information a leading health information company

Problem 

Our client sought to automate its Release of Information (ROI) process an extremely time consuming, manual process. The staff spent most of their time retrieving ROI requests from various sources, in service of more than a million requests annually. With an average time to fulfill each ROI request at 50 hours, a faster and more future-proof solution was needed.

Solution

Exponential AI leveraged Robotic Process Automation to build a suite of attended and unattended bots that automate the request fulfilment process. Bots consolidate ROI requests from multiple sources and carry out data entry into the Audit System allocating requests to multiple CSRs. The CSRs run attended bots to retrieve medical records from EMR System and run the following activities, patient look up, release look up, request letter generation, billing generation and hand off to fulfilment queue.

Result 

  • Productivity Gain: Reduced Average time for process by more than 80%
  • Increased process throughput by 6X
  • ROI – 3 months

Offerings

We partner in the intricate digital transformation of our clients’ businesses, bringing industry and technical expertise, and leveraging a disciplined methodology to solving complex business problems with AI solutions. Our enterprise grade AI Platform – Enso allows us to create value in production in less than three months.

How can AI help your organization?

Automate key processes  |  Derive actionable insights  |   Enable evidence-based decision making