Generative AI in healthcare is no longer theoretical. It’s actively transforming how providers and payers operate. This blog explores real-world ways Gen AI enhances efficiency, accuracy, and collaboration across the care continuum.
- Reduces documentation burden: Real-time clinical note-taking automation tools and AI transcription for doctors save hours of charting and help mitigate clinician burnout.
- Optimizes operations: Gen AI streamlines utilization review, prior authorizations, denials management, and administrative workflows, cutting costs and improving throughput.
- Strengthens decision-making: AI-generated clinical summaries support faster, evidence-based decisions without replacing human oversight.
- Improves collaboration: By aligning data insights between payers and providers, Gen AI fosters transparency and operational harmony.
- Powered by Xsolis: With proven AI and predictive analytics solutions, Xsolis helps organizations operationalize Gen AI at scale, turning insight into action.
Generative AI (Gen AI) in healthcare is rapidly transitioning from a buzzword to a practical tool that’s already delivering real operational benefits. In fact, some industry analysts estimate that Gen AI could unlock value by automating tedious tasks and turning messy healthcare data into actionable insights. Forward-thinking organizations are already using Gen AI to enhance efficiency across entire healthcare systems, reaping the financial and operational benefits.
In this blog, we’ll share some key generative AI use cases in healthcare that are making a real impact for providers and payers alike. Continue reading to understand the value of this powerful technology and why Gen AI has the potential to become so much more than “ChatGPT in healthcare.”
Automating Clinical Documentation and Note-Taking
Clinicians spend an estimated 28 hours per week on administrative tasks, including 9 hours alone charting notes. It makes sense, then, that 8 in 10 doctors cite paperwork as a top cause of burnout. Gen AI in healthcare is already coming to the forefront as a time-saving solution, resulting in more face-to-face time with patients.
For example, cutting-edge real-time clinical note-taking automation tools can serve as AI medical scribes. AI transcription for doctors can record (with consent) doctor-patient conversations and draft structured clinical notes automatically.
So far, the results are promising. One study found that using an ambient AI scribe reduced physicians’ odds of burnout by 74%. Furthermore, it significantly cut the after-hours time spent documenting.
By automating clinical documentation in real time, generative AI is giving providers back valuable face-to-face time and reducing cognitive load.
Streamlining Administrative Work and Revenue Cycle Tasks
Today, healthcare administration involves an abundance of repetitive, data-heavy processes, and administrative costs now account for over 40% of hospital expenses. Gen AI can dramatically reduce this burden by automating tasks.
For example, generative AI can assist in:
- Utilization Management. Summarizing patient records for initial case review or continued stay review, helping care managers quickly pinpoint key information. In one case, AI-driven tech allowed a utilization review team to support 140% more patients per day by auto-synthesizing clinical data.
- Denials and Appeals. Drafting clear clinical summaries for appeals letters when a claim is denied, and pulling in all relevant data to meet filing deadlines.
- Prior Authorization & Claims. Gen AI models can convert unstructured data (like chart notes) into structured formats for real-time authorization checks. Some can even summarize denial codes and reasons to guide next steps.
- Routine Admin Queries. Answering common billing or scheduling questions via chatbots can reduce phone tag. Likewise, populating forms based on conversations eliminates the need for manual data entry in some cases.
Generative AI use cases in healthcare operations are proving to optimize the revenue cycle and alleviate staff strain.
Enhancing Clinical Decision Support with AI Insights
Even beyond paperwork, Gen AI models are being tapped as intelligent assistants to inform clinical decisions and education. Large language models can instantly digest vast medical datasets and guidelines, then provide coherent summaries or answers.
For example, generative AI can scan decades of research or a patient’s entire history and produce a concise synopsis to support diagnosis or treatment planning. In areas like complex chronic disease or oncology, these AI-generated summaries help ensure that clinicians do not overlook critical details. Crucially, there is always a human provider to review the summary, verify the information, and, ultimately, make the final call. Healthcare AI leaders agree: oversight by clinical experts during both the development and implementation of AI are critical to ensure success.
When used responsibly, Gen AI is emerging as a powerful co-pilot to augment clinician judgment.
Generative AI and the Future of Healthcare
Xsolis is already helping providers and payers put Gen AI in healthcare into practice. Its AI-powered solutions use real-time data, predictive analytics, and automation to bridge communication, aligning decision-making across the care continuum. Xsolis is committed to guiding organizations through practical, scalable adoption that enhances efficiency and drives measurable impact. Let’s talk about your organization’s needs.