In this podcast, Vanessa Lopez from IBM Research Ireland shares her innovative work in applying AI, particularly knowledge graphs, to enhance healthcare systems. She discusses two significant projects: the first aims to reduce fraud, waste, and abuse in healthcare by automating policy analysis and claim reviews using knowledge graphs. The second project explores how social determinants of health have affected vulnerable populations during the COVID-19 pandemic. A standout point is the integration of natural language processing (NLP) to extract actionable insights from policy documents, helping to build a knowledge base for more transparent and efficient claim reviews. Ultimately, the goal is to leverage AI-driven insights to improve patient outcomes and optimize resource allocation.
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