|
International Journal of Computer Applications
Foundation of Computer Science (FCS), NY, USA
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| Volume 187 - Issue 79 |
| Published: February 2026 |
| Authors: Rahul Kumar Thatikonda, Sucharitha Donepudi |
10.5120/ijca2026926346
|
Rahul Kumar Thatikonda, Sucharitha Donepudi . Enhancing Economic Efficiency in U.S. Healthcare: A Human-in-the-Loop AI Pipeline for Regulatory Compliance and Cost Assurance in Life Sciences. International Journal of Computer Applications. 187, 79 (February 2026), 1-4. DOI=10.5120/ijca2026926346
@article{ 10.5120/ijca2026926346,
author = { Rahul Kumar Thatikonda,Sucharitha Donepudi },
title = { Enhancing Economic Efficiency in U.S. Healthcare: A Human-in-the-Loop AI Pipeline for Regulatory Compliance and Cost Assurance in Life Sciences },
journal = { International Journal of Computer Applications },
year = { 2026 },
volume = { 187 },
number = { 79 },
pages = { 1-4 },
doi = { 10.5120/ijca2026926346 },
publisher = { Foundation of Computer Science (FCS), NY, USA }
}
%0 Journal Article
%D 2026
%A Rahul Kumar Thatikonda
%A Sucharitha Donepudi
%T Enhancing Economic Efficiency in U.S. Healthcare: A Human-in-the-Loop AI Pipeline for Regulatory Compliance and Cost Assurance in Life Sciences%T
%J International Journal of Computer Applications
%V 187
%N 79
%P 1-4
%R 10.5120/ijca2026926346
%I Foundation of Computer Science (FCS), NY, USA
Organizations managing large volumes of service agreements in life sciences and biotechnology face persistent revenue leakage and compliance failures because critical billing-relevant terms—payment schedules, volume discounts, late-payment penalties, and renewal escalations—are embedded in unstructured legal language. By automating the financial governance of clinical research and supply chain agreements, this framework addresses a critical source of administrative waste that contributes to rising costs in the broader U.S. healthcare system. This paper presents an implementable, human-in-the-loop architecture for contract ingestion, clause segmentation, term extraction, and billing rule generation with full traceability. The system was evaluated on a dataset of 100 expertly curated and densely annotated biotech/clinical research contracts using a 5-fold cross-validation protocol. Results demonstrate: (1) 89.3% precision and 93.1% F1-score in clause classification, (2) 92.0% overall extraction accuracy across five key billing fields, and (3) a 75% reduction in downstream billing error rates compared to manual workflows. The approach combines supervised learning for extraction with deterministic rule-based logic for normalization, ensuring the auditability required for regulated environments.