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How AI and Automation is Changing Healthcare

Terms like Artificial Intelligence (AI) and automation tend to cause two reactions: trepidation or excitement. And while AI and automation have undoubtedly blended into popular culture as tenets of sci-fi and dystopian futures, AI and automation should evoke more excitement rather than fear for what they can bring to our futures, especially in healthcare. So,…

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By Brian Urban · ·
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How AI and Automation is Changing Healthcare

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Terms like Artificial Intelligence (AI) and automation tend to cause two reactions: trepidation or excitement. And while AI and automation have undoubtedly blended into popular culture as tenets of sci-fi and dystopian futures, AI and automation should evoke more excitement rather than fear for what they can bring to our futures, especially in healthcare.

So, how is AI transforming the future of healthcare?

On the latest episode of the Healthcare ReThink podcast, host Brian Urban discusses the game-changing technology being introduced to healthcare with Co-Founder and COO of CloudMedx, Sahar Arshad.

The two discuss:

  • How AI is unifying the healthcare system
  • How CloudMedx uses AI and automation to improve operations and clinical outcomes
  • How AI and automation is being adopted throughout the healthcare industry

“There’s a lot of opportunity to grow in places where it can really elevate the experience for everyone—patients, providers, payers. The experience is very, very broken, right? For a patient, there’s long wait times, there’s you don’t know how much a procedure would cost, it’s just a lot of confusion, and similarly with physicians it’s the same problem, lots of documentation and administrative work…” said Arshad.

Sahar Arshad is the Co-Founder and COO of CloudMedx, a healthcare data aggregation company that puts data into a single unified platform. She has over 20 years of experience in building products that bring convenience and accessibility at scale. Prior to founding CloudMedx, Arshad worked as a woman in tech in various roles, including as a Business Analyst for Inbox Business Technologies and as the CEO of Imaginate Technologies.

She has been awarded numerous industry awards, including selection as a U. S. Data Leader of the Year and U.

S. Entrepreneur of the Year at the 2021 Women in IT Summit and Awards Series. She has also been named among the top 10 women leading healthcare startups by Healthcare Global and within the top 25 women leaders in consumer health tech by the Healthcare Technology Report.

She earned her BS in Computer Science from the National University of Computer and Emerging Sciences.

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About the author

Brian Urban
Brian UrbanHealthcare innovation · Healthcare Rethink host, Duo Health

Brian Urban works at Duo Health. His MarketScale recordings feature his earlier FinThrive work as host of Healthcare Rethink and as a guest discussing health data, access and care delivery. Brian often asks for the story before the job title. Introducing his interview with Shawn Nason, he asks to go back before Mofi, before the board roles and even before Disney. That opening gives the guest room to explain how earlier experiences shaped the work. In his own personal conversation, Brian describes a day bookended by his children and animals: feeding dogs, ducks and chickens at six in the morning, then settling everyone again at night. His guest list also follows the people connecting health research with organizational decisions. Claire Manneh brings provider research and data tokenization to the discussion; Sameer Kokan explains the business and accountability work behind health-equity initiatives at Point32Health. Their career paths are part of the interviews alongside the technical and organizational questions.

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Denials get a queue, underpayments just look like paid claims

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  • 01Denial workflows activate on rejection events, but underpayments produce no event, leaving paid claims unverified by default.
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A zero payment on a claim line isn't automatically an underpayment; contract terms, particularly packaging rules, determine whether zero is correct. Chasing unsupported findings damages credibility with payers and weakens the position of legitimate disputes, so revenue cycle teams must verify the full contract terms and effective dates before treating any payment difference as a finding.

  • 01When a contract packages add-ons into the primary procedure, the add-on line may legitimately show zero payment because it is folded into the primary procedure reimbursement.
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A clean, paid, closed claim can still be short of the contract

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  • 01Correctly coded and billed healthcare claims can still result in underpayment.
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About the Expert

Brian Urban
Brian Urban

Healthcare innovation · Healthcare Rethink host

Duo Health

Brian Urban works at Duo Health. His MarketScale recordings feature his earlier FinThrive work as host of Healthcare Rethink and as a guest discussing health data, access and care delivery. Brian often asks for the story before the job title. Introducing his interview with Shawn Nason, he asks to go back before Mofi, before the board roles and even before Disney. That opening gives the guest room to explain how earlier experiences shaped the work. In his own personal conversation, Brian describes a day bookended by his children and animals: feeding dogs, ducks and chickens at six in the morning, then settling everyone again at night. His guest list also follows the people connecting health research with organizational decisions. Claire Manneh brings provider research and data tokenization to the discussion; Sameer Kokan explains the business and accountability work behind health-equity initiatives at Point32Health. Their career paths are part of the interviews alongside the technical and organizational questions.

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