Health insurance is a critical component of the healthcare industry with private health insurance expenditures alone estimated at $1.1 billion in 2016, according to the latest data available from the Centers for Medicare and Medicaid Services. This figure represents 34 percent of the 2016 National Health Expenditure at $3.3 trillion.
Insurers are looking to leverage all of the digital customer data that is now available to them, including one new data source that some of the largest insurance enterprises claim are actively collecting: real-time data streams from the Internet of Things (IoT).
Several key insurance carriers began to experiment with AI in the last decade, including Progressive, All-State, and State Farm. Although not as large as the banking and retail industries, the AI vendor landscape in insurance is growing.
The insurance industry is responsible for a multitude of sensitive financial data concerning both its customer base and staff. Any breach to an insurance company's CRM or other claims database could compromise the personal data of multiple people at once, which puts the company at risk as well.
Customer data is essential for insurance firms to stay competitive in the coming decade. Insurance companies at present have backlogs of data on past and existing customers in the form of policy agreements, applications, and claims forms. They’ve also collected millions of images showing car damage, property damage, and personal injuries.
There are many possibilities for automation in the healthcare industry outside of AI. Robotic process automation (RPA) technology can serve healthcare companies with various use cases involving data transfer and clinical documentation. Moving important information from the business’ frontend to their deeper business processes is among the most common use cases for RPA in healthcare, and many other solutions emerge from this idea. A similar phrase and field to RPA is called White Collar automation and readers can find a full interview on white collar automation in healthcare today here.
The healthcare industry holds perhaps the most responsibility of any industry when it comes to ensuring data privacy. A breach in electronic medical records (EMRs) could tarnish a healthcare company's reputation, put undue stress on patients, and render the company in violation of regulations.
In recent years, the demand for greater cybersecurity has risen even among the everyday citizen. This is especially true for one’s personal and financial information, which fraudsters are constantly finding new methods of breaching accounts to find. This need for security has also risen in insurance, and numerous AI firms are selling claims fraud detection solutions to the insurance sector.
Although one might assume healthcare companies are investing the most amount of money into AI for R&D efforts, such as clinical trials, drug discovery, and surgical robotics, the top healthcare companies don't seem to be publicizing their efforts if they are.