The Transformation of Healthcare Insurance through Digital Tools and AI

Jiaming Zuo

European Journal of Business, Economics & Management, 2025, vol. 1, issue 1, 69-77

Abstract: The integration of digital tools and artificial intelligence (AI) is transforming healthcare insurance by enhancing operational efficiency, improving patient engagement, and enabling better health outcomes through data-driven approaches. Key innovations such as AI-powered claims processing, fraud detection, wearable health monitoring, and telemedicine platforms contribute to more personalized and accessible healthcare services. However, challenges remain, including data privacy concerns, algorithmic biases, and the importance of maintaining human-centered care. Looking forward, the sustainable adoption of AI and digital technologies depends on continuous innovation, ethical considerations, and close collaboration among insurers, technology providers, healthcare professionals, and regulators. Together, these efforts can build a healthcare insurance system that is not only efficient and effective but also compassionate and equitable.

Keywords: healthcare insurance; artificial intelligence; claims processing; predictive analytics; data privacy; customer experience (search for similar items in EconPapers)
Date: 2025
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