Healthcare leaders are increasingly adopting “agentic automation” as a mission-critical tool to handle error-prone manual tasks, allowing digital agents to collaborate with human teams to improve accuracy and financial outcomes.

Implementation Strategy: The paper emphasizes change management and integrating these digital tools into existing workflows to ensure long-term operational impact and ROI.

Digital Workforce: The focus is on integrating AI “agents” that don’t just follow rules but can reason and complete complex tasks like claim follow-ups and payment reconciliation.

Automation Opportunities: Key areas for modernization include eligibility verification, denial prevention, and patient financial engagement to reduce administrative burdens.

Hybrid Intelligence Model: Success depends on a collaborative model where AI handles high-volume, repetitive data while human experts focus on complex decision-making.