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AI Agents for Healthcare

AI Agents and Agentic Workflows for Patient Engagement, RCM, Prior Auth, Patient Throughput, Staff & Block Scheduling and Supply Chain, to improve efficiencies, revenue, & reduce costs.

Patient Engagement AI Agents

Boost treatment follow-through with AI reminders.
Help patients manage their health with personalized plans.
Automate communication to keep patients engaged.
Provide helpful insights to keep patients on track.
Improve patient satisfaction with ongoing support.

Revenue Management AI Agents

Streamline healthcare revenue management streams using AI/ML technology
Revolutionize claims management processes for hospitals
Enhance accuracy and efficiency in revenue cycle operations
Automate routine tasks related to claims processing
Provide real-time insights and alerts for financial staff

Prior Authorization AI Agents

Current Manual Process

Repetitive
Cumbersome
Error Prone
Paper patient records
Manual interpretation of patient records

CloudAstra Optimized Process

Automated
AI/ML-based training. learning
ChatGPT based explanations
Parse records using generative AI

Competitive Market Intelligence - For Providers

Compare your prices with top competitors
Get access to Payer pricing and see how your competitors are getting reimbursed
Get alerted when new competitor data is available and key prices change
Understand how your price ranks in local, state, and national markets
Check quality scores of your competitors along with their prices
Build a data driven response to protect your market position with up-to-date pricing intelligence
Run simulations on how price changes will affect revenues

Negotiate a better Employee Pricing- For Employers

Determine what hospitals need to charge to commercial customers to break even overall using the Cloudastra platform with integrated NASHP commercial break-even calculation.
Compare prices paid by employers as compared to prices paid by Medicare for both inpatient and outpatient care.
Simulate savings and/or potential financial loss.
Often, employers need the ability to simulate Medicare prices to create a benchmark. Cloudastra’s solution can assign services to case-mix groups and assign a price for each service based on the national base rate, case-mix group, hospital-specific adjustments, and other outlier adjustments. For each service, we can measure the amount Medicare would have paid for the same

CMS Compliance

Stay compliant with CMS guidelines for transparent pricing data
Publish validated pricing data
Support patient portals

Contract Negotiation - For Providers & Payers

Get an advantage in Payer-Provider contract negotiations by having competitor health plan contract pricing data readily available via the Cloud Astra Transparent Pricing data.
Search by top CPT/HCPCS/DRG codes or by provider/payer to determine competitive pricing that can help during contract negotiation

Pediatric Workflows and Patient Throughput AI Agents

Use AI/ML to optimize pediatric throughput using pediatric-specific models
Adjust staff levels for surges including pediatric specialization
Reduce wait times for pediatric patients and families
Optimize patient transport requests for labs and imaging
Communication and alerts to staff based on events and wait times

Patient Throughput Optimization AI Agents

Use AI/ML to optimize patient experience
Adjust staff levels for surges
Improve patient experience
Adjust patient journeys through labs and imaging based on wait times
Communication and alerts to staff based on events and wait times

Resource Scheduling AI Agents

Block Scheduling

Analyze gaps in blocks using AI
Generative AI-based communication with provider groups
Automation of block acceptance communication
Analyze block usage

Staff Scheduling

AI/ML-based analysis of past staff schedules
Generative AI-based communication with hospital staff
Automation of staff assignments based on schedules

Healthcare Supply Chain AI Agents

Use Analytics, AI/ML, and Generative AI

Address Demand Variability
Reduce Supply disruptions
Improve Regulatory compliance
Address Product expiration and obsolescence
Product recalls and quality issues

We Create Future

Hospital Price Transparency Data Solutions

Custom Solutions

Talk to us about the issues you need to solve and we can create ai agents that address your workflow and automation needs

The complexity of acquiring Pricing Data

A large volume of data is now available in the public marketplace, but unfortunately, it is not user-friendly or easily interpretable. We need a complex data engineering platform and data engineering experts to get value out of this data jungle.

Data accessibility is an ongoing challenge. Providers are hosting data in a different format than payers Data Quality is a concern as well. Companies are finding it extremely difficult to analyze and extract tangible insight.

The available pricing data in a silo is insufficient unless combined with healthcare billing, revenue, and cost data sets to derive meaningful insights

CloudAstra engine makes it easy

Scalable data platform to ingest, process, and store a large volume of pricing data from payers, providers, and employers.

Prebuilt models that are trained on prior data for predictive and generative AI.

Extensible data platform to include additional healthcare datasets (claims, quality, finance, cost, revenue, etc.) for complete visibility.

Weekly refreshed and curated data sets from multiple partners in an easily consumable format for analytics use cases across the healthcare network.

Comprehensive standardization and data quality check to manage data inconsistencies.

Our Partners

Our Stories

5 Mar

seshaveni payasam

“AI-Powered Innovations in Mental Health: How CloudAstra AI Agents Enhance Efficiency, Engagement and Outcomes”

AI-Powered Innovations in Mental Health: How CloudAstra AI Agents Enhance Efficiency, Engagement and Outcomes Mental health care is at a tipping point. With rising patient demand,

11 Feb

seshaveni payasam

Prior Authorization: The Hidden Cost of Inefficiency in Healthcare and a Smarter Way Forward

Prior Authorization: The Hidden Cost of Inefficiency in Healthcare and a Smarter Way Forward Prior authorization (PA) was meant to control costs and ensure patients receive medical

28 Jan

Jag Padala

Beyond the Buzz: Why AI Agents Are Much More Than Glorified LLM Prompts

Beyond the Buzz: Why AI Agents Are Much More Than Glorified LLM Prompts Author: Jag Padala, Founder CEO The term “AI agent” has become a buzzword in tech circles, often leading

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