Research Article

Enhancing Economic Efficiency in U.S. Healthcare: A Human-in-the-Loop AI Pipeline for Regulatory Compliance and Cost Assurance in Life Sciences

by  Rahul Kumar Thatikonda, Sucharitha Donepudi
journal cover
International Journal of Computer Applications
Foundation of Computer Science (FCS), NY, USA
Volume 187 - Issue 79
Published: February 2026
Authors: Rahul Kumar Thatikonda, Sucharitha Donepudi
10.5120/ijca2026926346
PDF

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
Abstract

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.

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Index Terms
Computer Science
Information Sciences
No index terms available.
Keywords

Legal NLP Contract Analytics Human-in-the-Loop AI Billing Compliance Named Entity Recognition (NER) Life Sciences Cost Assurance Auditability

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