Scenarios

Transform Healthcare processes

Patient and member service

AI can enhance patient and member services by providing personalized care recommendations and automating routine tasks, such as appointment scheduling and follow-up reminders. It can also improve patient engagement through chatbots and virtual assistants, offering instant support and information. Additionally, AI can analyze patient data to predict health issues and suggest preventive measures, ensuring timely interventions and better overall care. This leads to more efficient, responsive, and tailored healthcare experiences.

Payor – Curate member education materials

Provide better educational materials to assist with prevention efforts

Available with: Microsoft 365 Copilot and Copilot Studio

Payor – Manage appeals

Provide faster service that is easier for member to understand

Available with: Microsoft 365 Copilot and Copilot Studio

Operations efficiency

Healthcare organizations can use AI to enhance operational efficiency by automating administrative tasks, improving patient scheduling, and optimizing resource allocation. AI-driven solutions can streamline workflows, reduce manual errors, and provide real-time insights, leading to better decision-making and faster service delivery.

Payor – Simplify prior authorization(PA)

Provide faster service that is easier for member to understand

Available with: Microsoft 365 Copilot and Copilot Studio

Payor – Speed claims processing

Provide faster service that is easier for member to understand

Available with: Copilot Studio/GitHub and Azure AI Foundry

Health provider – Departmental meeting

Simplify the task of sharing information in meetings with assistance before, during, and after the meeting

Available with: Microsoft 365 Copilot

Health provider – Optimize workforce planning

Use Copilot for data analysis for shift planning

Available with: Microsoft 365 Copilot

Health Provider – Enhance clinician efficiency

Use Copilot to help clinical teams work together and share knowledge

Available with: Microsoft 365 Copilot

Research/ development/ trials

AI can significantly enhance healthcare organizations by analyzing vast amounts of data to identify patterns and insights, accelerating research and development processes. It can also streamline product development by predicting outcomes and optimizing designs. During clinical trials, AI can monitor patient data in real-time, ensuring safety and efficacy while reducing trial durations. Overall, AI helps improve accuracy, efficiency, and innovation in healthcare.

Pharma – Clinical trials

Simplify the process of bringing new drugs to market

Available with: Microsoft 365 Copilot

Pharma – Drug research

Simplify the process of bringing new drugs to market

Available with: Microsoft 365 Copilot

Health provider – Medical conference perspectives creation

Prepare a presentation for a medical conference with ease

Available with: Microsoft 365 Copilot

Health provider – Organize and manage research knowledge

Simplify data aggregation and grant applications

Available with: Microsoft 365 Copilot

KPIs

Opportunity to impact key functional area KPIs

How Microsoft Copilot can help improve product time to market

The time spent on drug research and trials. Reducing time to market can reduce costs and accelerate revenues.
Reduce churn
  • Address more queries in less time
  • Personalize solutions
  • Improve staff availability based on automated capacity-based scheduling
  • Diagnose problems faster

How Copilot can help to reduce claims processing time

This KPI measures the average time to process a claim and can impact patient satisfaction.
Reduce churn
  • Address more queries in less time
  • Personalize solutions
  • Improve staff availability based on automated capacity-based scheduling
  • Diagnose problems faster

How Copilot can help to reduce wait times

This measures the average time a patient waits before receiving care. It’s calculated by dividing the total wait time by the number of patients.
Reduce churn
  • Address more queries in less time
  • Personalize solutions
  • Improve staff availability based on automated capacity-based scheduling
  • Diagnose problems faster

How Copilot can help to reduce readmission rates

This measures the percentage of patients who are readmitted to the hospital within a specific time frame after being discharged.
Reduce churn
  • Address more queries in less time
  • Personalize solutions
  • Improve staff availability based on automated capacity-based scheduling
  • Diagnose problems faster

How can Copilot improve patient retention

This KPI measures the percentage of patients who return to the same healthcare facility for future care.
Reduce churn
  • Address more queries in less time
  • Personalize solutions
  • Improve staff availability based on automated capacity-based scheduling
  • Diagnose problems faster