Episode 238 | The Digital Gold Rush: How AI is Reshaping the Future of Health Plan Operations

AI advancements are moving at lightning pace and the possible use cases for leveraging it are limitless— especially in the healthcare industry where key stakeholders grapple with an ever-growing amount of healthcare data. For payers, the potential for AI to transform member care, reduce growing healthcare costs and usher in the future of personalized preventative care is vast. Yet, even large national payers with advanced AI capabilities face obstacles in connecting the dots between AI expertise and business domain expertise.

In this episode, ZS experts Adam Siskind, Anoop Tripathi and Vinod Swarna discuss some of the most important opportunities available to health plan leaders for transforming their operations through AI. Our panel also unpacks the key factors that health plan leaders should consider—cost, impact and scalability—to ensure their AI investments pay off. If data is the digital gold of the next century, it’s critical that health plans invest in it now.

Adam Siskind is the managing principal of ZS’s health plan and provider practice area and previously led ZS’s European and North America West regions. He has worked in healthcare for more than 20 years, with extensive experience in most strategic and tactical issues across health plans and providers, pharmaceutical, biotech and medtech companies.

Anoop Tripathi leads the health plan and provider practice area’s data and technology function, focusing on patient-data analytics, enterprise-data strategy, machine learning operations and developing cloud and big-data solutions.

Vinod Swarna is a former chief analytics officer at AmeriHealth Caritas. He has decades of experience building data and analytics strategies and AI and machine-learning applications for health plans to deliver valuable business intelligence.

ZS is a management consulting and technology firm focused on transforming global healthcare. Leveraging leading-edge analytics, plus the power of data, science and products, ZS helps health plans make more intelligent decisions, drive growth and improve outcomes for all. Founded in 1983, ZS just celebrated its 40th anniversary last year.

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