Following an initial deployment in eight Oregon hospitals, the Renton, Wash.-based Providence health system is expanding use of a predictive analytics-based solution from Xsolis to 28 additional hospitals in six states.
Xsolis describes its platform as fostering collaboration between providers and health plans through real-time transparency, objective data for increased accuracy and alignment of medical necessity decisions.
The Franklin, Tenn.-based company says its predictive AI capabilities, including its proprietary Care Level Score, save time, remove unnecessary administrative work, and accelerate alignment among utilization review, case management, and physician advisor teams. The Care Level Score is an AI-powered analysis of medical necessity that is grounded in evidence-based medicine. The company said the accuracy of this analysis is supported by the more than 2.7 billion predictions the system has delivered since the company's inception in 2013.
In addition, Providence is planning to extend access of Xsolis’ shared platform, real-time updates, and predictive analytics to networked health plans to enable better communication and collaboration between health systems and plans.
By deploying Xsolis’ AI and predictive analytics, Providence said, it streamlined its review processes during its initial 8-month phase, achieving significant benefits including decreasing observation length of stay by 32%, helping to ensure more timely patient discharge.
"Providence is dedicated to pioneering the integration of cutting-edge AI technologies to lessen the administrative load and empower our caregivers to provide top-tier, patient-centric care," said Adar Palis, group vice president of clinical and revenue cycle applications at Providence, in a statement. "Expanding our collaboration with Xsolis not only streamlines crucial utilization review processes but also sets a new standard in healthcare by leveraging AI to focus our valuable clinical resources on our core mission—caring for our patients and serving the communities across the Pacific Northwest and beyond."
Following the initial deployment in October 2023 in eight Oregon hospitals, Xsolis’ technology will now be extended to 28 additional Providence hospitals across Oregon, Alaska, Washington, Montana, New Mexico, and Texas.
“In today’s resource-constrained environment, Xsolis’ source of truth for aligning on medical necessity decision-making and case management analytics has illuminated the hard-to-identify areas for improvement, strengthening our abilities to continue delivering high-quality care, regardless of how the industry will continue to evolve,” said Melissa Damm, chief financial officer of central region, Providence, in a statement.
