314: Where health plans are placing their AI bets

While most health plans have at least begun testing AI tools to improve operational efficiency, a far smaller number have moved beyond pilot stage. The challenge is not merely adopting AI – it is deciding which processes to reimagine and which solutions merit investment; doing the work of embedding solutions in end-to-end workflows; measuring success; and, crucially, establishing the organizational alignment needed to generate value at scale.

In this episode, host Rae Woods sits down with Troy Anderson, Vice President of Payer Solutions at Optum.ai, and Sally Kim, Advisory Board health plan expert. They talk about why payment integrity and member experience are rising to the top of health plans’ priority list for deploying AI, and how regional plans can learn from larger organizations, focus on proven value, and avoid costly mistakes in the early stages of investment and deployment.

We’re here to help:

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