UMC Health System in Lubbock, Texas, has expanded its alliance with AI technology provider XSOLIS, with an aim to make its operations more efficient and cut down administrative waste.

The renewed partnership will include additional payer connections and case management analytics to further support staff efficiency and reduce costs.

According to XSOLIS, this expansion has also led to increased alignment with payers during case reviews, reduced exceptions, and enhanced operational efficiency.

UMC Health System director of case management Kayla Long said: “We were so pleased with our results with XSOLIS that we stopped using previous utilisation review solutions, as well as another outside Physician Advisory group.

“The data transparency we now have access to is unprecedented and has constantly illuminated areas for improvement.

“As a result, we’ve shifted our focus to mitigate denials, which improved our financials and strengthened payer relations.”

How well do you really know your competitors?

Access the most comprehensive Company Profiles on the market, powered by GlobalData. Save hours of research. Gain competitive edge.

Company Profile – free sample

Thank you!

Your download email will arrive shortly

Not ready to buy yet? Download a free sample

We are confident about the unique quality of our Company Profiles. However, we want you to make the most beneficial decision for your business, so we offer a free sample that you can download by submitting the below form

By GlobalData
Visit our Privacy Policy for more information about our services, how we may use, process and share your personal data, including information of your rights in respect of your personal data and how you can unsubscribe from future marketing communications. Our services are intended for corporate subscribers and you warrant that the email address submitted is your corporate email address.

Since deploying XSOLIS’ CORTEX platform in October 2020, along with its Physician Advisory Services and Denials Management Services, UMC Health System has leveraged AI and predictive analytics to streamline utilisation review case reviews and allocate staff more effectively.

The platform’s integration with UMC Health System’s electronic medical record has allowed for broader adoption of XSOLIS’ Care Level Score, an AI-driven representation of medical necessity.

UMC Health System CIO Bill Eubanks said: “CORTEX analytics are accessible in shared views which has created continuity across teams, making it easier for everyone to work toward the same goals versus our previous, more siloed approaches.

“Physicians, nurses and utilisation review teams now have more efficient conversations and increased alignment on patient status and discharge readiness.”