2021-10-06-埃森哲-Superpower_your_workforce_with_AI_for_super_value_15页_2mb

Intelligent Payer Superpower: Summarizing Key Points

The report "Intelligent Payer: Superpower Your Workforce With AI For Super Value" emphasizes that health payers can significantly enhance their workforce's capabilities using AI, leading to greater value for all stakeholders (employees, employers, members, and providers). Key insights include:

1. AI Enables Superhuman Potential: AI doesn't just automate tasks but liberates employees from mundane, tactical work, redirecting them to higher-value, strategic tasks. It combines human ingenuity with machine capabilities for innovative problem-solving.
2. Significant Workforce Capacity Gains: Accenture's analysis suggests AI can save up to 55% or more (up to 95% for specific roles like underwriting) of a health payer's workforce capacity/time.
3. High-Impact Roles: Tasks for roles like claims processors (78% potential savings), underwriters (95%), and care coordinators (90%) are prime candidates for AI automation and augmentation, freeing up significant capacity.
4. Unlocking Massive Value: For a large health plan (10 million members), potential savings across all roles could unlock approximately $1 billion (or more, as tech advances) that can be reinvested for new products, better experiences, and growth.
5. Enhanced Employee Roles: AI transforms job functions, enabling employees to act as strategists, data analysts, proactive advisors, and counselors, making their work more meaningful.
6. New Possibilities: Opportunities include flexible (including gig economy) resource pools, enhanced employee experience and personal fulfillment, and using AI to humanize healthcare, improve access, and generate new revenue streams.
7. Strategic Action: Crucial steps include rethinking work design, redesigning workplaces with AI, leveraging AI for better employee experience and retention, and aggressively reskilling the workforce for the new AI-era demands.

In Summary: Health payers can leverage AI to not only boost operational efficiency and business performance but also fundamentally transform the employee experience, making work more engaging and impactful, while unlocking substantial value and enabling a shift towards human-centric healthcare.