Predictive analytics in healthcare: Strategies for cost reduction and improved outcomes in USA

Healthcare expenses are a major issue all around the world, and the US spends the most on healthcare. Predictive analytics, a sophisticated field of data science that incorporating machine learning, AI, and big data, is becoming more used in hospitals for predicting clinical events, improving resource use, and cutting down on wasteful costs. This study examines the mechanisms by which predictive analytics decreases healthcare expenditures. Technology examines methods to leverage technological advancements for early disease detection, prevent hospital readmissions, reduce emergency department utilization, enhance labor efficiency and supply chain management, and identify fraudulent activities. The study conducts a thorough literature evaluation of peer-reviewed articles from 2020 to 2024, supplemented by case-based cost modeling. Quantitative studies encompass speculative cost-saving models derived from predicted readmission prevention programs, patient triage systems, and fraud analytics initiatives. We consider about moral concerns including being fair, being honest, and keeping information private. Evidence shows that predictive analytics can cut readmissions by as much as 25%, cut emergency department visits by 15%, save 12% in labor costs by optimizing staffing, and stop billions of dollars in fraud. The graphs and tables show ways to lower costs and improve predictive accuracy. Predictive analytics signifies a transformative shift from reactive to proactive healthcare. There are problems with interoperability, bias, and adoption barriers, but its potential to save money is clear. Globally, predictive models will be key to creating healthcare systems that are sustainable, patient-centered, and cost-effective.

Authors

Institutions

Publication Details

Journal
International Journal of Innovative Research and Scientific Studies
Published
2025-10-08
DOI
https://doi.org/10.53894/ijirss.v8i8.10559
Primary Topic
Artificial Intelligence in Healthcare
Type
article
Field-Weighted Citation Impact
0.00
Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
article

Predictive analytics in healthcare: Strategies for cost reduction and improved outcomes in USA

Md Nazmul Hasan, Fariya Chowdhury, Muhibbul Arman, Mohammad Mahmudul Hasan Bhuyain et al.
International Journal of Innovative Research and Scientific Studies
Artificial Intelligence in Healthcare
article

Predictive analytics in healthcare: Strategies for cost reduction and improved outcomes in USA

Md Nazmul Hasan, Fariya Chowdhury, Muhibbul Arman, Mohammad Mahmudul Hasan Bhuyain, Manoj Kumar Bathula
article en

Abstract

Healthcare expenses are a major issue all around the world, and the US spends the most on healthcare. Predictive analytics, a sophisticated field of data science that incorporating machine learning, AI, and big data, is becoming more used in hospitals for predicting clinical events, improving resource use, and cutting down on wasteful costs. This study examines the mechanisms by which predictive analytics decreases healthcare expenditures. Technology examines methods to leverage technological advancements for early disease detection, prevent hospital readmissions, reduce emergency department utilization, enhance labor efficiency and supply chain management, and identify fraudulent activities. The study conducts a thorough literature evaluation of peer-reviewed articles from 2020 to 2024, supplemented by case-based cost modeling. Quantitative studies encompass speculative cost-saving models derived from predicted readmission prevention programs, patient triage systems, and fraud analytics initiatives. We consider about moral concerns including being fair, being honest, and keeping information private. Evidence shows that predictive analytics can cut readmissions by as much as 25%, cut emergency department visits by 15%, save 12% in labor costs by optimizing staffing, and stop billions of dollars in fraud. The graphs and tables show ways to lower costs and improve predictive accuracy. Predictive analytics signifies a transformative shift from reactive to proactive healthcare. There are problems with interoperability, bias, and adoption barriers, but its potential to save money is clear. Globally, predictive models will be key to creating healthcare systems that are sustainable, patient-centered, and cost-effective.

International Journal of Innovative Research and Scientific StudiesVol. 8(8)
Verizon (United States) (US), Miles College (US), University of New Haven (US)
Openalex Percentile: Top 68%
Artificial Intelligence in Healthcare
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.