The adoption of intelligent automation, which includes AI, robotic process automation (RPA), natural language processing (NLP), cloud computing, and machine learning (ML), has expanded rapidly in the US healthcare sector. According to the Everest Group PEAK Matrix® report on Intelligent Automation in Healthcare, these technologies are being applied in areas such as claims management, patient engagement, risk adjustment, and chronic disease management to improve efficiency and patient outcomes.
This trend is partly driven by the COVID-19 pandemic, which revealed several weaknesses in care delivery and administrative processes. Healthcare organizations realized the need to automate routine tasks to lessen administrative workload, improve patient interaction, and use resources more effectively. Automation boosts the ability of providers to deliver value-based care more efficiently, helping meet patient expectations while lowering operating costs.
NTT DATA, a company active in this area, has deployed over 3,393 RPA robots among healthcare clients worldwide, including within the US. Their intelligent automation solutions, especially the Nucleus for Healthcare platform, combine data, automation, and AI to enable comprehensive patient care management. This platform helps health providers manage care delivery throughout a patient’s journey. Using advanced analytics, it assists providers to customize treatment plans, optimize workflows, and maintain administrative accuracy.
Administrative tasks consume a large share of healthcare resources. Scheduling appointments, processing insurance claims, coding medical records, sending reminders, and maintaining documentation are critical but often done manually or through outdated systems. These processes can cause clinician burnout and reduce time for patient care.
Artificial intelligence and automation offer effective ways to ease this burden. For instance, AI-enhanced Electronic Health Record (EHR) systems combined with automation can cut down documentation time by about six hours per clinician per week, according to a McKinsey healthcare report. Besides reducing burnout, this also improves accuracy by minimizing human data entry errors.
In the US, diagnostic errors result in nearly 800,000 deaths and disabling injuries yearly. AI-enabled clinical decision support systems (CDSS) embedded within EHRs provide real-time analysis and alert clinicians of possible issues early. These systems process large amounts of patient data, detect anomalies, recommend tests, or suggest treatments through predictive algorithms. This support improves patient safety and lowers costs by reducing avoidable complications.
Healthcare providers also use RPA to automate administrative workflows. The New York Psychotherapy and Counseling Center (NYPCC), which serves over 25,000 clients annually, implemented RPA and AI to streamline patient record requests, referral intake, appointment reminders via text, and telehealth scheduling integrated with their EHR system. These automations have shortened referral and admission turnaround times, reduced clinician administrative duties, and allowed clinicians to focus more on patient care during the COVID-19 surge.
Using automation technology by itself does not automatically improve healthcare outcomes. The integration of AI and automation tools into current clinical and operational workflows is a crucial factor for success. Joe Tuan, a healthcare digital transformation leader, points out that “successful implementations don’t start with technology—they start with redefining clinical workflows.”
Many US healthcare providers operate with legacy IT infrastructure that limits interoperability and data sharing. Without smooth integration between EHR systems, patient portals, billing software, and communication tools, data silos restrict AI and automation capabilities.
For example, AI’s ability to analyze patient data over time to predict disease progression depends on timely access to comprehensive information from multiple sources. Cloud computing and hybrid cloud setups facilitate secure, scalable data exchange needed for advanced analytics and AI functionality.
Companies like NTT DATA have developed hybrid cloud solutions and universal bot portability, enabling providers to shift RPA tools across platforms without losing automation benefits. This approach helps healthcare organizations of different sizes improve efficiency without costly IT overhauls.
The main purpose of integrating intelligent automation and AI in healthcare is to improve the patient care journey. This journey includes everything from scheduling appointments to diagnosis, treatment, follow-up, and chronic disease management. Automation aids the patient experience by reducing wait times, ensuring accurate information sharing, and enabling more personalized care.
Conversational AI chatbots and virtual assistants offer 24/7 support to patients. They handle common questions on appointments, medication, and post-treatment care. These tools improve patient interaction by providing timely communication and assisting patients in following their treatment plans, which can lead to better health outcomes.
AI-powered predictive analytics are increasingly used in chronic disease management. By reviewing past data and spotting risk patterns, these systems offer early warnings before health conditions worsen. This proactive method reduces hospital readmissions and emergency visits, cutting costs and improving patients’ quality of life.
Mental health services, which often face high demand and staff shortages, have also benefited from automation. NYPCC’s use of integrated AI, RPA, and telehealth has maintained continuous care during the pandemic. Analytics dashboards provide real-time data on clinician caseloads and missed appointments. Such tools help providers address challenges in access, improving care for underserved populations.
AI and workflow automation change healthcare operations beyond reducing repetitive tasks. They enable more informed, data-based decisions in daily work.
The AI healthcare market in the US is growing quickly, expected to rise from $11 billion in 2021 to about $187 billion by 2030. This growth reflects healthcare leaders’ recognition of the value AI and automation bring in addressing challenges related to cost, quality, and access. Deloitte reports that 84% of healthcare executives foresee AI having a major impact on healthcare delivery soon.
Investment in AI and automation is especially important for mid-sized and large medical practices facing pressure from changing regulations, value-based payment systems, and rising patient expectations. Intelligent automation offers a financially viable means to improve patient outcomes and operational stability by cutting repetitive tasks, enhancing data accuracy, and enabling faster clinical decisions.
Companies like NTT DATA show how combining AI, RPA, and data integration can work effectively at scale with advanced cloud infrastructures. Their approach includes universal bot portability, hybrid cloud deployments, and ongoing AI research focused on healthcare applications—all relevant for US providers seeking to update their care delivery methods.
Examples from mental health show these technologies’ adaptability to different care settings, increasing access and maintaining care continuity during periods of high demand and limited resources.
Intelligent automation and AI integration are important tools for improving patient care in the US healthcare system. They increase clinical accuracy, reduce administrative tasks, improve operational efficiency, and support better patient outcomes. For administrators, healthcare owners, and IT managers, adopting these technologies with careful integration offers a way to meet the demands of modern healthcare delivery.
The key components include cloud computing, Robotic Process Automation (RPA), Natural Language Processing (NLP), and Artificial Intelligence/Machine Learning (AI/ML), aimed at improving claims management, patient engagement, and overall healthcare efficiency.
The COVID-19 pandemic highlighted inefficiencies in healthcare systems, prompting enterprises to seek automation to optimize processes, reduce costs, improve patient care, and enhance resilience.
The categories include Leaders, Major Contenders, and Aspirants, classified based on their market success and overall capabilities in Intelligent Automation solutions.
The Leaders identified include Accenture, Cognizant, Exela Technologies, NTT DATA, Wipro, and Optum, recognized for their substantial market impact and innovation.
The PEAK Matrix serves as an assessment framework for gauging service providers’ market success and capability in delivering Intelligent Automation solutions.
NTT DATA has strong BPS and IT presence, hybrid cloud-based operations, transaction-based pricing models, and a universal bot portability framework, enhancing their service delivery.
Strengths include significant scale in deployments, cost savings through hybrid cloud, innovative pricing models, and a robust AI R&D center focused on healthcare advancements.
While successful on the payer side, NTT DATA has the potential for greater scalability on the provider side and needs to leverage newer areas like risk and compliance for growth.
NTT DATA offers tools like RPA, intelligent document processing, and AI advisor tools, focusing on various functional areas such as claims management and patient care.
Nucleus for Healthcare integrates data, automation, and AI to enhance patient care journeys, allowing seamless interaction and improved health outcomes for members.