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Success story: Genesis HealthCare improves UM + CDI with AI-driven capabilities

Genesis HealthCare System’s way forward

For Genesis HealthCare System, managing hospital capacity and ensuring patients are placed in the right level of care is critical. Facing high volumes and manual workflows, the organization needed a more efficient, data-driven approach.

With Waystar, Genesis is using AI for prioritization to improve decision-making, strengthen collaboration, and drive measurable financial impact.

Smarter prioritization. Stronger outcomes.

Waystar’s AI-driven solution helps Genesis identify the right patient status — inpatient vs. observation — and prioritize the most critical cases for review.

The technology enables teams to focus on the highest-impact cases while improving accuracy and efficiency across utilization management.

Better alignment. Better patient outcomes.

By bringing utilization management and CDI teams together on a shared platform, Genesis has improved communication and coordination — ensuring documentation supports the appropriate level of care.

Teams can now quickly identify mismatches, prioritize upgrades or downgrades, and take action earlier in the process — reducing delays and improving both reimbursement and patient experience.

“It’s much more satisfying for patients — they get the care they need,” says Linda Supplee, Chief Population Health Officer.

Learn how Waystar helps healthcare organizations optimize utilization, improve accuracy, and drive better financial and patient outcomes.

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