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:

• Expert Insight | How health plans can tackle rising administrative costs
• Webinar | How health plans are using AI to deliver a better member experience
• Webinar | The AI arms race: How health plans are responding in payment integrity
• Episode | Ep. 313: Inside Sutter Health's playbook for scaling AI
• Episode | Ep. 228: Avoiding ‘pilot purgatory’ in remote patient monitoring
• Research | AI in healthcare: Evaluating promising use cases
• Research | Health plan strategy
• Get in touch | Simplifying healthcare with AI | Optum
• Playbook | Your playbook for developing an AI governance strategy
• Ready-to-Use Resource| How to take a problem-first approach to AI

Playlist | Explore Radio Advisory’s Tech & AI playlist for expert insights on innovation and the future of healthcare

A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.