Thakur Anup Singh’s Post

Exploring the Nuances of Healthcare in Product Management Healthcare product management stands out from other industries due to its complex customer dynamics. Unlike typical consumer markets, healthcare products often have a multi-tiered customer base that includes patients, healthcare providers, purchasing administrators, and insurance companies⁴. The Challenge: Understanding the Multi-Tiered Customer Base One of the critical nuances in healthcare product management is navigating this four-tiered system. Each tier has distinct needs and influences the purchasing decision differently: - Patients: seek optimal care and treatment outcomes. - Healthcare Providers: look for efficacy and ease of use in products. - Purchasing Administrators: manage the acquisition of medical products. - Insurance Companies: dictate reimbursement rates and coverage. Problems in the Current Landscape: - Misalignment of Interests: Often, what is best for the patient may not align with what is cost-effective for providers or covered by insurers. - Complex Decision-Making: The decision to purchase a healthcare product involves multiple stakeholders, making the process lengthy and intricate. - Regulatory Hurdles: Healthcare products must meet stringent regulatory standards, which can slow down innovation and market entry. Solutions: Acetect is poised to address these challenges with a comprehensive healthcare services: - Patient-Centric Approach: Ensuring that product development starts with the patient's needs, leading to better health outcomes. - Streamlined Decision-Making: Offering solutions that simplify the purchasing process for healthcare providers and administrators. - Regulatory Expertise: Navigating the regulatory landscape to accelerate product development and approval. By focusing on these areas, Acetect aims to bridge the gap between innovative healthcare solutions and the complex market they serve. #healthcare #productmanagement #Acetechlimited https://lnkd.in/dd2DpdPT

𝐇𝐨𝐰 𝐙𝐞𝐚𝐥𝐭𝐡𝐢𝐱 𝐢𝐬 𝐄𝐦𝐩𝐨𝐰𝐞𝐫𝐢𝐧𝐠 𝐈𝐧𝐬𝐮𝐫𝐚𝐧𝐜𝐞𝐃𝐞𝐤𝐡𝐨 𝐭𝐨 𝐃𝐫𝐢𝐯𝐞 𝐃𝐢𝐠𝐢𝐭𝐚𝐥 𝐇𝐞𝐚𝐥𝐭𝐡 𝐀𝐝𝐨𝐩𝐭𝐢𝐨𝐧 𝐢𝐧 𝐈𝐧𝐝𝐢𝐚 🔆InsuranceDekho, a leading InsureTech platform in India, is revolutionizing the way consumers manage their health insurance with the help of Zealthix's cutting-edge technology. Our collaboration is enabling InsuranceDekho to: 🔑𝐒𝐢𝐦𝐩𝐥𝐢𝐟𝐲 𝐀𝐁𝐇𝐀 𝐂𝐚𝐫𝐝 𝐂𝐫𝐞𝐚𝐭𝐢𝐨𝐧: We're streamlining the process for InsuranceDekho's customers to create their ABHA (Ayushman Bharat Health Account) cards. This digital health ID grants secure access to personal medical records. 📋 𝐒𝐞𝐚𝐦𝐥𝐞𝐬𝐬 𝐇𝐞𝐚𝐥𝐭𝐡 𝐑𝐞𝐜𝐨𝐫𝐝 𝐑𝐞𝐭𝐫𝐢𝐞𝐯𝐚𝐥: By leveraging Zealthix's ABDM (Ayushman Bharat Digital Mission) infrastructure, InsuranceDekho can effortlessly fetch customer health records with their consent. This empowers them to make informed insurance decisions based on their medical history. 🌟𝐄𝐧𝐡𝐚𝐧𝐜𝐞𝐝 𝐂𝐮𝐬𝐭𝐨𝐦𝐞𝐫 𝐄𝐱𝐩𝐞𝐫𝐢𝐞𝐧𝐜𝐞: This integration fosters a smoother experience for InsuranceDekho's customers. They can now manage their health data and insurance needs efficiently on a single platform. 🛡️Zealthix's secure and scalable technology infrastructure is the backbone of this collaboration. It ensures the privacy and confidentiality of customer health data while enabling effortless data exchange between InsuranceDekho and healthcare providers. https://lnkd.in/g6rVZVaj National Health Authority (NHA) Zealthix InsuranceDekho #DigitalHealth #InsuranceTechnology #ABDM #Zealthix #InsuranceDekho #EmpoweringCustomers #HealthDataManagement

🌟 Raising the Bar: How AI is Revolutionizing Health Insurance Approvals 🌟 In the bustling world of health tech, Anterior is emerging as a beacon of innovation. The company recently secured a staggering $20M in Series A funding, ramping up its valuation to $95M. Their AI-driven approach to speeding up health insurance approvals is not just a win for efficiency but a giant leap towards enhanced patient care. 🔍 Inside Anteriors Innovation: - 🤖 Utilizes LLM-powered AI to assist healthcare professionals. - 📄 Predominantly automates the cumbersome prior authorization process. - 🚀 Aims for broader applications in medical administrative tasks in the future. This development points towards a future where tedious administrative tasks do not hinder the healthcare industry, potentially transforming how quickly patients receive necessary care. For small business owners and startups, especially those navigating the complex terrain of health tech and insurance: - The success of Anterior underscores the critical impact of venture backing and strategic partnerships. - It demonstrates the growing influence and potential for AI solutions in operational efficiencies, a beacon for businesses aiming to enhance productivity and service delivery. 🏥 Implications for Health Tech Startups: - Opportunity to innovate on administrative bottlenecks. - Potential for strategic investments and partnerships that accelerate growth and scalability. Let this example inspire you to consider how AI can be integrated into your business processes to solve real-world problems efficiently. Stay ahead in #HealthTech #VentureCapital #AI https://lnkd.in/d2ba-snh This post was generated by an AI. Please contact us for more information.

The collaboration between Blue Shield of California and Salesforce to streamline the prior authorization process is a game-changer for the healthcare industry. Historically, prior authorizations have been a source of frustration for both providers and patients due to time-consuming manual processes and lack of transparency. By leveraging Salesforce’s platform, Blue Shield of California is drastically reducing these inefficiencies, making obtaining approval for medical services as easy and seamless as using a credit card. For enterprises in the healthcare space, this evolution represents a significant shift towards automation and real-time decision-making, emphasizing the importance of integrating powerful CRM and healthcare management tools to improve operational efficiency. It’s about reducing administrative bottlenecks while ensuring a smoother, faster experience for patients—an increasingly critical factor in overall patient satisfaction. The ability to instantly process approvals, verify benefits, and track the progress of requests in real-time is not only boosting efficiency but also fostering trust between patients, providers, and payers. For SMBs, particularly within healthcare technology or insurance services, this partnership highlights the power of leveraging Salesforce to drive meaningful transformation. The capability to automate complex processes like prior authorizations can vastly improve user experience while cutting down on operational costs, proving that tech investments with Salesforce can indeed streamline high-impact tasks that were once heavily manual. At Maple DX, we specialize in helping our clients—from healthcare providers to payers—customize Salesforce to automate their most critical processes. Whether it's simplifying claims processing or enabling real-time customer service, Salesforce provides the flexibility to implement these innovative changes at scale. The potential for ROI is significant, especially as healthcare organizations increasingly look to technology to reduce friction and improve care delivery. Let’s connect and explore how Maple DX can integrate and customize Salesforce to optimize your operations, boost efficiency, and maximize your overall ROI. Salesforce HealthcareAutomation DigitalTransformation MapleDX SalesforceConsulting ROI HealthTech PatientExperience Efficiency Healthcare

Many healthcare product services fail because they are unable to tap the right audience, the right market. Building and selling a product for the healthcare market is complex specifically for Phrama , Health Insurance , Medical device , or Healyhcare Services provider companies. Actually what we lack ? A data driven decision making process. Healthcare data and information is a complex system and its changes every time. We are Creating new paths to commercial success IEEARC data intelligence combines millions of data points enables any company selling into healthcare to bring their products to market faster and more efficiently. We bring Insights that power commercialization. With this comprehensive and integrated view, companies are able to improve decision-making process, quantify ROI for products, and size total addressable markets. Feel free to connect with me. #healthcare #startup #pharma #bigdata #analytics #businessanalysis #businessanalytics #hospital #health #dataanalytics #healthinsurance #marketing

Forget what you think you know about chatbots! While chatbots are often discussed for automating customer service tasks, their capabilities extend far beyond answering FAQs. Let's spotlight healthcare – a sector with incredible potential for transformative chatbot applications. 1. Medication Reminders: The Adherence Ally Did you know that medication non-adherence costs the US healthcare system up to $300 billion annually? A simple chatbot can drastically change this. Imagine a virtual companion that sends personalized medication reminders, answers dosage questions, and even tracks if prescriptions were taken. This level of support can lead to improved health outcomes and significant cost savings. 2. Mental Health Companion: 24/7 Support at Your Fingertips Accessible mental healthcare is a global crisis. Chatbots can't replace therapists, but they can act as a first line of support. AI-powered companions can guide users through journaling exercises, offer mindfulness techniques when anxiety strikes, and even flag crisis situations for immediate human intervention. 3. Insurance Navigator: Decoding the Labyrinth Insurance jargon and ever-changing coverage rules are a major headache for patients and providers alike. But, what if a chatbot could instantly clarify coverage, estimate out-of-pocket costs, and even help with claim submissions? Less confusion, less frustration, and more time spent on actual care. 4. Post-Op Coach: Empowering Recovery After a procedure, patients are bombarded with instructions and anxieties. This is where a recovery chatbot can shine. It provides personalized reminders, answers questions 24/7, monitors for complications, and offers encouraging support throughout the healing process. This reduces unnecessary calls and ER visits, improving patient satisfaction. 5. Smart Symptom Checker: Reducing Uncertainty Should you see a doctor, or is it just a passing bug? AI-powered symptom checkers can help patients make more informed decisions. By asking in-depth questions and considering medical history, these chatbots can provide possible diagnoses and recommended actions, potentially reducing unnecessary doctor's visits while ensuring timely care when needed. The Takeaway Chatbots in healthcare are about so much more than just efficiency. They can improve health outcomes, support mental well-being, and empower patients to take an active role in their care. If you're in the healthcare industry, it's time to reimagine what a chatbot can do for you. Interested in exploring how custom chatbots could transform your healthcare operations? Let's connect!

New Partnership to share! We are now making waves in healthcare tech. But first some context.... Talk to anyone in healthcare administration and they’ll tell you that their job is like putting a bandaid on a broken leg over and over again all day. It’s an industry riddled by manual, paper based processes and super-complex billing and coding. Many insiders feel like it’s a broken system and that's just the way it is. However, our new partner Anatomy Financial took a different approach and it’s becoming a game changer. Here’s the problem they set out to address: Healthcare companies need to file what's called an 835 which lists all the procedures they performed with the correct insurance billing categories and codes. Someone within the medical office needs to spend an entire day manually inputting data into an antiquated spreadsheet system in order to get the office properly reimbursed. The insight for Anatomy Financial came from a husband and wife founding team. She was formerly a medical executive who was telling her husband about this 835 pain. The husband was a fintech payments exec who said, “You know, I bet we could solve that with new payments technology being developed that captures data and payments in far more detailed ways than previously available.” Together, they form this FinTech to automate the 835 process using AI and ML. It reads the data off the insurance checks received by medical offices, along with the corresponding explanation of claims that come in the same envelope, and automatically populates the 835 without manual intervention. The challenge they approached us with was how to turn physically mailed payments into digitally available data. This is how our partnership works.... ◼️ The medical offices have their checks sent to a CheckAlt white labeled lockbox that gets received in one of our 11 national processing facilities. ◼️ Our team feeds the envelope contents into high speed scanners that have been trained to pull the right data off the checks and explanation of benefit forms. ◼️ We then pass that data in a custom format via API into their AI engine. ◼️ Their AI turns the data into submission ready 835 formats automatically. Net result, the process that used to take a full day now takes minutes. And the medical offices can redeploy valuable staff time to patient care.

Prior Authorizations From Insurance Co. In Healthcare Tend to take abit of time Develop Health is an Innovative Company that is working to change that with AI-Powered Medication Access. 𝐏𝐫𝐨𝐛𝐥𝐞𝐦: In the Healthcare Prescription Medication workflow, medication dispensing can take some time because they have to contact the Insurance company to determine from one's plan what they are eligible for. This Prior Authorization from the Insurance Co. usually takes time, which in some cases might be needed much quicker and so causes delays with patient outcomes 𝐓𝐡𝐞 𝐒𝐨𝐥𝐮𝐭𝐢𝐨𝐧: What Develop Health does is that their AI system pre-checks medications against patient plans and medical history, eliminating coverage guesswork and streamlining care delivery. 𝐓𝐡𝐞𝐲 𝐚𝐜𝐡𝐢𝐞𝐯𝐞 𝐭𝐡𝐢𝐬 𝐢𝐧 𝟑 𝐦𝐚𝐢𝐧 𝐰𝐚𝐲𝐬: 1) 𝐁𝐞𝐧𝐞𝐟𝐢𝐭 𝐕𝐞𝐫𝐢𝐟𝐢𝐜𝐚𝐭𝐢𝐨𝐧 – Their AI Technology uses patient insurance card images to pinpoint the right contact numbers, employing AI for direct calls to plans and PBMs.   𝐎𝐮𝐭𝐜𝐨𝐦𝐞: Deciphering coverage quickly, leads to easing of financial uncertainty   2) 𝐂𝐥𝐢𝐧𝐢𝐜𝐚𝐥 𝐄𝐥𝐢𝐠𝐢𝐛𝐢𝐥𝐢𝐭𝐲 –  The Clinical Eligibility tool utilizes AI to predict prior authorization outcomes, allowing for the first-time submission approvals.   This is achieved by examining patient coverage alongside prescribed drugs and clinical data   𝐎𝐮𝐭𝐜𝐨𝐦𝐞: Ability of forecasting approvals, and securing first-time submission success.   3) 𝐏𝐫𝐢𝐨𝐫 𝐀𝐮𝐭𝐡𝐨𝐫𝐢𝐳𝐚𝐭𝐢𝐨𝐧 – The solution transforms the tedious process of form completion, by leveraging AI to autofill necessary clinical information. It drastically reduces the time and effort involved.   𝐎𝐮𝐭𝐜𝐨𝐦𝐞: By optimizing forms input completion quickly, it accelerates medication access due to reduction of the time and effort involved, leading to quicker access to essential medications and overall patient care efficiency. ***************** Follow me ⤴️Rachel M-Keyser, PMP for news on AI & Innovation, tips on Healthcare Tech/IT, Healthcare Project/Program Management and transitioning into these new opportunity Industry areas ***************** #AIInnovation #HealthcareInnovation #AIHealthcareInnovation

"Running a healthcare practice is hard, filled with critical daily activities that aren’t covered in medical school. Patients need help with their insurance companies, staff needs help following up with patients—and everyone needs help navigating electronic health records. These pain points offer a prime opportunity for pharma brands to support physicians and to demonstrate true customer centricity. But is that enough?" "Customer centricity and customer engagement :One core tenet shared by all successful companies: focus on pleasing your customers. That begins by providing a product or service that answers some customer need—but often stretches much further, with companies both providing direct added benefits and taking socially conscious actions that their target customers appreciate." "Companies that do this well tend to be more successful. These companies make a strategic decision that all their business initiatives drive towards developing a long-lasting customer relationship. "A recent Forbes article1 by Blake Morgan highlighted five key actions that are common among top customer-focused companies: 1. A customer-experience mindset 2. Innovation 3. Civic engagement, including environmental responsibility 4. Active commitment to the employee experience 5. A steadfast focus on customers and customer needs We argue that, while all of these things are important, the two most critical are a customer-experience mindset and innovation." #innovation #customercentricity #customerengagement #pharmamarketing https://lnkd.in/euibMPgx

New tool alert: DoximityGPT. (Not sponsored) For those using the Doximity app for its phone capabilities (or the website), there's a new tab: AI Labs - containing DoximityGPT, an LLM fine-tuned for healthcare providers. 🩺 It's become a handy tool for drafting various documents: ⁃ note templates - Insurance denial appeals 📝 - Work excuse letters 👷♂️  - Immigration support letters ✈️ - Customized patient education materials 📚 - Responses to patient MyChart messages 📩  You can manually edit the outputs and send them directly through the app via fax or text, so insurance companies and patients can refer to the information later 📤✉️ Honestly, I haven't found the quality of the outputs to be jaw-droppingly amazing. 🤷♂️ BUT I still use the tool, because it caters to the exact formatting and language that I need. With ChatGPT, I have to repeatedly clarify that I am a doctor, explain the context, and the intended audience. But, since DoximityGPT was designed specifically for insurance appeals and patient letters, it is so much more efficient in completing these tasks. Not to mention it’s completely HIPAA compliant, so I can include patients’ names and health information without worrying. Our EMRs have some templates, but they're often generic with drop-down menus that make them difficult to customize for specific conditions or circumstances. In cases like these, I find it much easier to copy and paste from DoximityGPT into Epic. Doximity also includes an AI clinical reference feature that cites data for custom questions you ask, similar to OpenEvidence. However, I personally find it less helpful than OpenEvidence and don't use it. 🧐 I've been using this technology for patient instructions, education, and work letters. How about you? Are you incorporating AI tools like DoximityGPT into your workflow? I'd love to hear your experiences! 🗣️💬