Highmark uses AI to generate $245m savings

One of America’s leading health insurance organizations deployed artificial intelligence to generate more than $245 million in savings related to fraud, waste and abuse in 2021.

The Financial Investigations and Provider Review (FIPR) department at Highmark, which covers the insurance needs of more than 6 million members in Pennsylvania, Delaware, West Virginia and New York, has made a cumulative financial impact of nearly $1 billion in such activity since 2017.

“FIPR protects Highmark customers’ premium dollars and well-being, ensuring that health spending supports high-value care for…