The global pandemic has demonstrated the need for digitization in healthcare delivery. Digitization of healthcare, which has enabled telehealth is not a fancy idea anymore, it is the need of the hour. Such digitization has/will create the basic foundations of information infrastructure. And this in turn will accelerate the pace of adoption of breakthrough technology such as AI, robotics, prescriptive analytics, and so on, at a significantly faster pace than it was anticipated.
Truth is that we are moving at a breakneck speed towards a future of precision medicine and personalized treatment plans, robotic surgeries performed remotely, where AI will be ubiquitous, omnipresent behind every decision, clinical or otherwise, that we humans will be making to deliver and receive healthcare.
With the core mission to eliminate unnecessary healthcare and address inefficiencies and wastages that costs US healthcare approximately $1.2 trillion each year, Hindsait was formed. Hindsait is committed to helping healthcare get better. The company has been realizing this vision through its innovative Artificial Intelligence (AI) technology platform that leads to improved quality of care, prevention of unnecessary services, errors, inconsistencies, and wastage in healthcare.
Its key values include Integrity: acting responsibly in the best interest of humanity; Excellence: building a culture of excellence and innovation in everything that we do; Continuous improvement: committing to continuously improve our technology and services, Employee development: providing a workplace of exceptional personal and professional growth; and Compassion: remaining respectful and offering dignified treatment to all at all times.
In addition, each of its team members take the security and confidentiality of its clients’ and patients’ data with the greatest care and with utmost importance. This includes complying with all HIPAA (Health Insurance Portability and Accountability Act of 1996), environmental, safety and fair dealing laws and beyond in everything we do.
At the helm of Hindsait is Pinaki Dasgupta, the CEO and Founder of the company. In an interview with Insights Care, Pinaki shares his valuable insights on how Hindsait’s AI Platform enables improved quality of care and prevention of unnecessary services, errors and fraud.
Below are the highlights of the interview:
What are the prominent solutions and products, that make your company stand out from the competition?
Our technology is centered on the automated extraction of contextual information and patterns from unstructured free texts, as in a patient medical record, encounter report, lab report, in-patient record, response to clinical questionnaires for prior-auth., etc, etc. Our platform then integrates, processes, and renders such use-case specific information via machine learnt algorithm for faster, more efficient and consistent decision-making.
Some examples of our platforms include:
Hindsait’s Clinical Decision Support (CDS) Audit/Review platform for Payers:
Hindsait’s AI platform brings automation and augmentation to pre-service reviews such as prior-authorizations and pharmacy benefits reviews, as well as to post-service audits and reviews such as payment integrity audits, risk adjustment audits, clinical validations, DRG/CPT audits/reviews, itemized bill reviews, high dollar claims reviews, etc.
Hindsait’s AI-enabled audit/review platform saves health plans millions of dollars in unnecessary payment or overpayments, while concurrently reducing administrative cost of manual reviews and error rates via a combination of automation and efficiency enhancements in the clinical decision-making.
Hindsait’s ‘Risk Adjustment Reimbursements’ platform for Providers
Hindsait’s AI platform enables Providers to accurately and efficiently code conditions present in patients’ medical records thus ensuring appropriate risk-adjusted compensations and enabling enhanced quality of care for their Medicare patient population.
Hindsait’s AI-enabled Risk Adjustment Reimbursement platform increases RAF scores, leading to millions of dollars of additional reimbursements, while improving accuracy and quality of care, and reducing audit risks.
Being an experienced leader, share with us your opinion on how the adaptation of AI in the healthcare discipline has transformed the industry and what more could be expected in the near future?
From our vantage point, two areas where Healthcare has been investing heavily today in AI are in the areas of Revenue Cycle Management (RCM) and in Clinical Decision Support (CDS). We expect to see accelerations of investments in these two areas of RCM and CDS going forward.
As AI adoptions in healthcare industry expands, becomes more mature, and with improved machine learning performance enhancements, we will see a future where AI layer will be ubiquitous, all-pervading in every application that the Payers, Providers, Pharmaceuticals and Patients will be using, touching, sharing, and communicating towards a true AI enabled healthcare ecosystem.
What would be your advice to budding entrepreneurs who aspire to venture into the HealthTech sector?
To be a health-tech entrepreneur, patience is one of the key virtues that an entrepreneur would need, among all other competing virtues.
The reality is that the Healthcare ecosystem is huge, with complex legacy business models, systems, and processes, and is risk-averse. That means that it is fair to assume that healthcare will move at a glacial pace when it comes adopting break-through technologies. So, a health-tech entrepreneur needs to be mentally and physically ready to dig-in for the long haul. But once the technology has been proven, it could be a very rewarding and exciting journey to be a health-tech entrepreneur.
Where do you envision your organization to be in the long run and what are your future goals?
We envision to be known as one of the top 3 Clinical Natural Language Processing (CNLP) Companies with industry-leading platforms in Revenue Cycle Management (RCM) and Clinical Decision Support (CDS).
About the Leader and his Team
After first-hand experiences of the inefficiencies and wastages in the US healthcare system, Pinaki Dasgupta brought his digital expertise in Manufacturing and Aerospace industries to the healthcare industry. His keen focus and belief in client-centricity defines the culture at Hindsait.
Hindsait’s exceptional team of physicians, nurses, data scientists, software developers, and industry leaders all work together to understand its clients’ existing processes, workflows, and pain-points via multiple client discovery sessions.
Through these discovery sessions, the Hindsait team identifies and prioritizes enhancements of its existing utilities, development of new features and functionalities and innovate new ideas, that can best address its clients’ pain points and challenges. Such client-centricity had enabled Hindsait to build long-term client relationships on solid foundations of mutual trust and growth.