Examples of real-automation in clinical admin

Humana created Allie to streamline outdated and repetitive processes to improve patient health outcomes and boost healthcare business efficiency.

Redundant administrative tasks, such as clinical auditing and medical chart reviews, hinder clinicians from performing at their optimum, affecting both patient outcomes and healthcare business interests. Allie’s Citizen Development (CD) program fosters a cross-functional team consisting of various stakeholders and experts beyond IT, to envision clinician-centered solutions and implement key process improvements.

For example, the CD team collaborated with pharmacists and nurses to automate the manual process of collecting patients’ health information. Allie automates data collection and uses this to categorize prescriptions by risk level, directing them to the relevant healthcare specialist for review when needed.

This approach leads to efficiency gains and reduced risk, benefitting Humana, clinicians, and most importantly, patients. In six months, Allie restructured 35 Humana processes, improving customer service, transparency, and resource use, while reducing time-to-value from months to weeks. Handling real-time processing of millions of claims and prescriptions annually, Allie reduces administrative tasks, granting clinicians 15% more time for patient care.