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The U.S. healthcare has transformed drastically over the past decade and has successfully managed to provide care to chronically ill patients. However, the healthcare system is also well-known for delivering care at skyrocketing costs. The U.S. healthcare system faces significant challenges that call for urgent reform- underutilized preventive care, high spending on complex diseases, fragmented care for chronic patients, etc.

Healthcare organizations have always been working towards delivering quality care and constantly improving the patient experience of care. Patient experience happens to account for 25% of a hospital’s score under CMS Hospital Value-Based Purchasing, encouraging healthcare organizations to diligently work towards engaging their patients and delivering end-to-end care.

Artificial intelligence- a buzzword that was initially created and introduced as a concept to imitate human brain and its actions and operate in the real world with a comprehensive human approach. Since its inception, AI has widely been used in developing and deploying selective defense, space exploration, and lately, intelligent personal assistance. However, AI is slowly making its way into modern healthcare and changing the realm of healthcare as we know it.

In 2011 according to reports, data from the U.S. healthcare system alone exceeded 150 exabytes. With the current growth rate, this will soon reach the zettabyte-scale. A value-focused organization based in California has more than 9 million members and is believed to have between 27-44 petabytes of potentially rich data from varied sources.

Lately,  the health sector has been introduced to several new challenges apart from the ones that already existed. Some health systems have been growing phenomenally, while some are being gutted because of decreasing quality and increasing costs. Hundreds of healthcare settings comparable in size and scale often have a huge gap, with some being way ahead, while some left so far behind that all they ever see are losses.

Emma Jones, 67 was diagnosed with Type-2 diabetes and morbid obesity five years ago and had always faced issues managing her HbA1c levels and morbid obesity. Her last test report revealed her HbA1c to be higher than the ideal and her obesity , barely controlled. Emma’s PCPs and specialists knew that the problem was related to her poor adherence to care plans and irregular follow-up visits. Apart from her wellness and health, the secondary concern for the providers was facing the growing emphasis Medicare had placed on overall performance and its link with reimbursements.