AI in Healthcare: Revolutionizing Predictive Analytics - What's the Cost?


Abhishek Founder & CFO cisin.com
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Revolutionizing Predictive Analytics: AI in Healthcare Cost

Both our autonomous cars and chatbots that offer individualized recommendations are powered by artificial intelligence. When it comes to the technological infrastructures that these same businesses need, cloud computing lets them become more flexible and mobile.

Predictive analytics offers insightful data into a variety of industries, including healthcare, manufacturing, and finance. Before addressing the query of how predictive analytics affects healthcare, it is crucial to define a few whole words. The development of artificial intelligence (AI) has allowed us to envision self-driving vehicles and customer care chatbots that will assemble an order for me.

As artificial intelligence (AI) advances, more sectors of the economy are considering how to use technology best to boost productivity, results, and healthcare. The health industry is well-positioned to prosper as the aging population continues to put pressure on systems that are already overburdened. The adoption of automated procedures in the healthcare industry could increase productivity, cut costs, and enhance patient care and outcomes. In terms of radiology diagnostic precision, many AI models are capable of surpassing radiologists, which eventually lowers the chance of human error.


What Exactly is Healthcare Predictive Analytics?

What Exactly is Healthcare Predictive Analytics?

Traditional analytics only offer past-processed data; predictive analytics presents future-state data. Predictive analytics employs both historical and real-time data to forecast future events and spot trends in patient care, as opposed to using only historical and present data. A variety of methods, including data mining, statistics, and AI, are used in predictive analytics. Additionally, it can be utilized to forecast future developments and spot patterns in inpatient treatment. It looks for patterns in data.

Modeling, data mining, and machine learning are essential tools used in the subject of predictive analytics, which is a subfield of data analytics. To forecast the future, it analyzes both recent and past data. Analyzing both past and present data, predictive analytics is a subset of healthcare analytics. It also enables them to forecast trends and control the spread of disease. All of these things help healthcare workers find possibilities to improve clinical and operational decisions.

Any information relating to the health of an individual or a group of individuals is referred to as healthcare data. It is gathered via patient registries, claims-based datasets, and medical and administrative information. Healthcare analytics can help everyone involved in the industry provide higher-quality treatment. This comprises healthcare facilities, practitioners, psychiatrists, psychologists, and pharmacists, among others.


Artificial Intelligence Versus Predictive Analytics -What is the Distinction?

Artificial Intelligence Versus Predictive Analytics —What is the Distinction?

One of the fundamental developments that support the majority of the new technologies emerging from the digital age is the production of vast volumes of data. A data point can be thought of as every digital interaction. Given that an average person has hundreds of digital interactions per day, you can only imagine the amount of data that can be gathered about each individual. Predictive analytics and AI both rely on this data. It would be incorrect to mix up the two technologies, though.

To forecast the future, predictive analytics uses previous data. It is feasible to develop mathematical models that incorporate both past and present data to predict how events will pan out. Another perspective is AI, sometimes known as machine learning. It entails developing an algorithm that can learn on its own and gets better over time.

This is the source of the concept. The algorithm makes several initial assumptions, which are then verified using data. It updates them if the presumptions turn out to be incorrect. There are no restrictions or requirements that the algorithms must follow. They could be taught. Even though AI and predictive analytics are comparable, looking at data patterns is a different approach that, on occasion, can yield additional findings.


Does This Imply That There is no Connection Between AI and Predictive Analytics?

Does This Imply That There is no Connection Between AI and Predictive Analytics?

Predictive analytics and artificial intelligence are not the same things. However, predictive models can be developed using AI. Predictive analytics based on AI will result from this. This might clarify some of the ambiguity. By building more accurate models, revealing more in-depth insights, and building models that keep learning and updating as new data is provided, AI can be utilized to improve predictive analytics.

This is only a small example of how AI may be used to clean data and organize it in one place. The AI will then start automatically analyzing and revising current forecasting models. All of this with barely any outside assistance.


What Effects will Predictive Analytics have on Healthcare?

What Effects will Predictive Analytics have on Healthcare?

Although manufacturing and production are frequently linked to predictive analytics, the healthcare industry can also profit significantly from this technology.


Benefit No. 1: Behavioral Analytics

Simply put, behavioral analytics is the capacity to forecast the future behavior of individuals based on data. Any information that is produced by your behavior or business involvement is referred to as behavioral data. Then, a profile based on these facts is created to enable healthcare organizations to forecast your behavior.


Benefit No. 2: Increasing Operational Efficiency

Predictive analytics can help healthcare institutions operate more efficiently. This not only results in cost savings but also enables better patient care.


Benefit No. 3: Personalization

Personalization has become a prominent trend across all businesses during the past ten years. There is no exception in healthcare. It is fair to say that the healthcare sector needs personalization more than any other industry, given that various persons may respond differently to the same prescription. Using innovative technologies, healthcare providers may now customize their care to each patient's unique needs. We'll talk about some applications of these technologies in healthcare.

Read More: 3 Factors Accelerating The Growth of Artificial Intelligence (AI)


Several Healthcare Use Cases for Predictive Analytics

Several Healthcare Use Cases for Predictive Analytics

Let's examine the practical advantages of cutting-edge technologies like predictive analytics.


Leveraging Behavior Analytics

By assisting healthcare professionals in anticipating patient behavior about treatments, behavioral analytics can help avoid undesirable behaviors and the consequences that follow.


How to Foresee Drug Adherence

It is a big concern for doctors when patients don't follow their drug plans. This is a significant issue for patients with chronic illnesses and might cost more than $100 billion a year. Using predictive analytics, doctors may identify the patients who are most likely to adhere to their advice. They can then provide those patients with intervention measures to improve adherence and prevent fatalities.


Anticipating No-Shows

Everyone suffers when patients miss their appointments. Losses are incurred by both the payer and the healthcare provider. If patients don't address the health issues that led them to schedule an appointment, they risk deteriorating themselves. There are two benefits for doctors who can anticipate when patients may be absent from meetings. They can promptly change their plans.

They can design interventions that include patients and improve the likelihood of them attending. Both the caliber of the medical treatment they provide and the effectiveness of the practice can be enhanced by these doctors.


Operational Efficiency Boosting

Operational Efficiency Boosting

In many aspects, predictive analytics boosts the productivity and operational effectiveness of healthcare practitioners.


Preparing to Surges

Almost every hospital has experienced a patient influx at some point. A lack of resources could affect the standard of patient care at a hospital that is not well prepared. There could not be enough beds, or there might not be as many doctors. Hospitals can predict and prepare for surges with the correct data.

This can indicate that you need to hire extra employees or get temporary beds before you need them. The fact that data can include everything from meteorological data to current happenings like national holidays and the day of each week makes it even more fascinating. It can also forecast the effects of any surge-causing causes.


Organizing Equipment Upkeep

One of the significant issues in any industry is equipment breakdown. If the MRI machine breaks down, the hospital will lose money. The waiting time for patients will be during the machine's repair. Then there are the costs of repairs.

Predictive analytics means that hospitals no longer have to wait for equipment failures to occur. Instead, hospitals can take proactive steps to ensure that their equipment is in good condition before it breaks down.

Even better, maintenance can be planned to occur when hospital operations are least affected. With the Internet of Things, which is the technology that enables devices to connect, predictive analytics can also be employed in the healthcare industry.

Our predictive model will be in communication with an MRI machine outfitted with a few sensors, feeding it information and informing it when to pop the hood and change the oil.


Personalizing Treatment

Personalizing Treatment

A significant advantage of predictive analytics in healthcare is personalization. We've previously discussed it. These are just a few practical applications for it.


Reduce Readmissions

Readmissions are another element that has a detrimental effect on both the payer and the provider. Both the patient's finances and the hospital's resources may be strained by this. Hospitals can identify patients who are likely to be readmitted using patient socioeconomic data and information from their electronic health records, or EHRs.

To lessen the likelihood of readmission, these patients may get specialized medical care. It is crucial to understand that Intel and Cloudera collaborated to lower hospital readmissions. As a result, there were 6,000 fewer readmissions. Additionally, the group was able to save up to $4 million in potential Medicare fines and save roughly $72 million yearly on medical expenses.


Estimating Hospital Stay Duration

The length of the stay is a significant factor in medical costs. All parties split this expense. More extended hospital stays put patients at increased financial risk for hospital-acquired infections as well as higher prices. On the other side, prolonged stays can strain a hospital's resources, eat up doctors' time, and prevent other patients from receiving the treatment they require. If a hospital can anticipate the length of a patient's stay, it can plan its schedule accordingly and create particular interventions for high-risk patients. This will guarantee top-notch medical care.

Excellent outcomes came from a partnership between Intel and Cloudera that assisted a hospital organization in forecasting the length of their patients' stays. The team was able to schedule more effectively and made yearly savings of almost $120 million. This came out to $12,000 for each sufferer. Thanks to a 5% increase in facility usage, the group might be able to care for 10,000 more patients annually.


Predictive Analytics in Healthcare: Advantages

Predictive Analytics in Healthcare: Advantages

The healthcare sector can benefit significantly from analytics as a result of recent technology developments. AI and machine learning can be used to examine data and choose the most effective patient treatments. These are some of the most critical ways that healthcare businesses can use predictive analytics to their advantage.


Improved Patient Care Overall

The healthcare industry can benefit significantly from predictive analytics. It gives you access to a variety of data, including comorbidities, demographics, economics, and medical history. Doctors and other healthcare professionals can gain insightful knowledge from this data to assist them in making wiser decisions. Making more competent, more educated, and data-driven decisions can lead to better patient care.

For instance, predictive analytics can be utilized to enhance patient outcomes. Older patient results and data can be used to train machine learning algorithms to predict which treatments will be most effective for specific patients.

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Individualized Treatments

For millennia, medicine has been predicated on a one-size-fits-all philosophy. Instead of using restricted data from a small number of patients, doctors have prescribed medications and treatments. The optimal course of treatment can be suggested for each patient by medical specialists who are better competent in diagnosing patients.


Managing Population Health

There are various levels at which predictive analytics can be used. Organizations in the healthcare industry can use it to control population health. If analytics have access to patient data on their medical histories, drugs, and personal histories, they can be used to find comparable patients in a cohort of patients. A cohort's potential for disease outbreaks can be detected using this data. In such circumstances, medical practitioners can start looking for remedies right once, increasing the likelihood that patients will survive.


Determine Patients at Risk

Medical personnel can identify patients who are more at risk with the aid of predictive analytics. They can also start an early intervention to stop more significant issues. For instance, it can determine which people are most at risk of developing a cardiovascular disease based on their age, the presence of other chronic diseases, and how well they take their medications. Instead of waiting for patients who are at high risk to visit for routine checkups, doctors and other healthcare professionals can predict the possibility of chronic disease or sickness and help them to receive therapy. In addition to those who are chronically unwell, at-risk patients include the elderly and those who have recently been released from the hospital after invasive procedures.


Manage Chronic Disease

In the US, chronic diseases are the leading causes of disability and demise. In addition, they are responsible for $3.5 trillion in annual healthcare costs. 75% of healthcare costs are related to five chronic disorders. They are cardiovascular disease, diabetes, kidney disease, diabetes, and cancer.

To effectively manage chronic diseases, patients and healthcare professionals must first be able to prevent them from occurring in the first place. Chronic conditions are hard to control and avoid. Healthcare professionals can employ predictive analytics to help them make quick, fact-based decisions that are well-informed. As a result, they will be able to provide patients with care at a lower cost.


Prevent Equipment Failures

Other industries, like manufacturing and telecommunications, employ predictive analytics to anticipate maintenance needs in advance. In the healthcare sector, similar prognostics can be applied. Machine parts may deteriorate with time or lose some of their effectiveness. Predictive analytics, which examines MRI machine data, can assist in determining when a component will break down or need to be replaced. Hospitals can schedule maintenance for unused equipment, minimizing downtime for patient care and lowering staff requirements.


Tracking and digitalization of healthcare

The communication between patients and healthcare professionals has been dramatically transformed by digitalization. We can affix gadgets to our bodies, measure our health, and keep an eye on how our bodies are performing thanks to cell phones. Patients with diabetes can monitor their blood sugar levels at any time without having to prick their fingers using their mobile devices.


Eliminate Human Error

Healthcare can be severely harmed by human blunders. Medical personnel can utilize data to prevent deadly mistakes by giving them precise, real-time information that directs their actions.


Fraud Detection

Healthcare fraud is a problem that occurs far too frequently. Healthcare fraud can take many different forms. For instance, someone might get their prescription medications covered in full or on the cheap and then resell them for a profit. They were Changing patient records and intentionally submitting inaccurate diagnoses or treatments to receive more money. Examples include prescriptions for additional or pointless medical care.

Predictive analytics can identify anomalies that can flag fraudulent actions and help to catch them early.


Decreased healthcare spending overall

Healthcare expenditures can be decreased by using predictive analytics. By lowering unneeded hospital stays, hospital drug and supply expenses, and hospital staffing needs, predictive analytics can also be utilized to save healthcare expenditures.


Predictive Analytics Examples in Healthcare

Predictive Analytics Examples in Healthcare

The medical industry can benefit significantly from predictive analytics. The most value for healthcare practitioners can be found in these seven applications.


Preventing Readmission

Readmissions to the hospital are expensive. Each year, Medicare spends around $26 billion on readmissions. In addition to offering financial incentives to hospitals to prevent readmissions, the hospital readmission reduction program also imposes severe penalties on them. According to research, this fine was imposed on 82% of the program's participating institutions. Predictive analytics, EHRs, and socioeconomic data can now be used to identify patients who are at high risk of readmission. Then, more medical attention can be given to reduce readmission rates.

Predictive analytics in healthcare can be used to find patients who are at a high risk of readmission. To avoid a quick turnaround, doctors can then devote more resources to follow-ups or customize discharge procedures.


The control of population health

This is a further illustration of healthcare predictive analytics, and it has three components. Predictive analytics can help healthcare organizations identify people who are most likely to develop chronic diseases. Additionally, they offer preventive care. Based on a variety of variables, including demographics, disability, age, and previous care patterns, this analytics assigns ratings to patients.


Enhancing Cybersecurity

According to the Report, cyberattacks in the healthcare industry are frequent. The majority of ransomware attacks involve data theft and encryption. There were 62 data breaches in the healthcare industry in April 2021. More than 100.000 medical records were compromised in each of these seven data breaches.

Predictive analytics in healthcare cyber security can have a positive effect on this scenario. Healthcare firms can utilize predictive analytics to combine AI solutions for the medical industry to determine risk scores for various online transactions and then react to events based on those scores. Low-risk processes can be given access, whereas high-risk strategies can be blocked or made to undergo multi-factor authentication. Healthcare predictive modeling can also track data access and sharing to look for any patterns that can point to infiltration.


Boost patient outreach and involvement

Medical facilities can employ predictive analytics to increase patient engagement and solidify doctor-patient relationships. You can make patient profiles using these tools and convey messages that are unique to each patient. Additionally, you can tailor your techniques to be more successful for each individual.

Hospitals and pharmacies can employ predictive algorithms to evaluate patient data and create dynamic consumer personas that reflect their behaviors and preferences. Physicians can utilize these personas to assist them in creating tailored outreach messages on issues like medication effectiveness and patient adherence. The marketing division can use these personalities to develop email campaigns.


Accelerating the submission of insurance claims

Health insurance can also benefit from predictive analytics. These technologies can expedite the creation of insurance claims while reducing errors. Health insurance can also benefit from predictive analytics. These tools help hospitals draft insurance claims more quickly and with fewer mistakes.

They were finding the proper codes used to require hospital coders to go through a lot of data. The application form Apixio searches through patient records for pertinent information before giving hospital coders the information they need to choose the optimal codes.


Forecasting no-show appointments

No-shows cost the US healthcare system some $150 billion annually. Each missed appointment costs a practitioner, on average, $200. By employing predictive analytics to foresee which patients may miss appointments, healthcare can be improved. Additionally, they can lower revenue losses and raise provider satisfaction.


New Treatments: Research is Key

Additionally, novel medicines can be discovered via predictive analytics. Genetic data, medical history, and other information constitute the foundation of predictive algorithms. They are adept at predicting how a person would react to treatments or medications. As a result, there will be less need for inpatient care groups, and the research process will be streamlined.


Predictive Analytics Drawbacks

Predictive Analytics Drawbacks

Healthcare will soon transform thanks to predictive analytics, but there are hazards. One, healthcare institutions will be impacted by the rapid changes in technology. It might be challenging to store data on the cloud when dealing with sensitive and private medical data. If the information is made public, it can cause the patient and doctor to lose trust in one another.

Additionally, there are concerns about moral hazards and the design of human-machine interaction points. Predictive analytics as a whole is yet uncontrolled. Although predictive analytics provides many advantages, healthcare professionals must exercise caution and be aware of any potential risks.

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Conclusion

The future of healthcare is predicted to be revolutionized by predictive analytics and artificial intelligence solution. With the aid of these technologies, medical experts can forecast each patient's behavior and customize their treatment regimens accordingly. This enables them to increase the effectiveness of their facilities and the caliber of treatment provided. All of them are a result of the ongoing digital revolution in our professional world.

You work in the healthcare sector. The wants and expectations of your clients should be your primary focus. To turn these criteria into a solution that satisfies your objectives, you need AI development services and a team of professionals. Systems using artificial intelligence are not designed to fulfill consumer demand or keep you ahead of the competition. They ought to also leave room for future development.