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The Forecasting Frontier: How AI is Reshaping Risk, Revenue, and ROI

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Manage episode 503999896 series 2556560
Content provided by Eric Glazer. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Eric Glazer or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

Artificial intelligence is no longer just a buzzword, it’s a practical tool transforming how healthcare organizations prepare for the future. From evaluating and pricing risk with greater accuracy to identifying rising-risk members and strengthening long-term financial strategies, AI is reshaping the very foundations of forecasting in healthcare.

In this episode, leaders from Florida Blue, Premera Blue Cross, Blue Shield of California, and Prealize Health share how they’re applying AI across actuarial, clinical, and data science domains to optimize decisions, improve outcomes, and drive organizational sustainability.

In this episode, you’ll learn:

  • How health plans are evaluating and scaling AI models to improve accuracy in forecasting and underwriting

  • Real-world examples of AI identifying rising-risk populations and transforming engagement strategies

  • Why “next best action” models are becoming central to member engagement and population health

  • How generative AI and workflow optimization are streamlining operations and reducing costs

  • What it takes to embed AI into financial planning, provider contracting, and long-term ROI strategies

Panelists:

  • Romilla Batra, MD, MBA, SVP & Chief Medical Officer, Premera Blue Cross

  • Ratnik Gandhi, Senior Director, AI, Florida Blue

  • Emily Allred, Senior Director & Actuary, Large Group Pricing, Blue Shield of California

  • Dean Noble-Tolla, PhD, Chief Product & Analytics Officer, Prealize Health

Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. Download here.

  continue reading

99 episodes

Artwork
iconShare
 
Manage episode 503999896 series 2556560
Content provided by Eric Glazer. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Eric Glazer or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

Artificial intelligence is no longer just a buzzword, it’s a practical tool transforming how healthcare organizations prepare for the future. From evaluating and pricing risk with greater accuracy to identifying rising-risk members and strengthening long-term financial strategies, AI is reshaping the very foundations of forecasting in healthcare.

In this episode, leaders from Florida Blue, Premera Blue Cross, Blue Shield of California, and Prealize Health share how they’re applying AI across actuarial, clinical, and data science domains to optimize decisions, improve outcomes, and drive organizational sustainability.

In this episode, you’ll learn:

  • How health plans are evaluating and scaling AI models to improve accuracy in forecasting and underwriting

  • Real-world examples of AI identifying rising-risk populations and transforming engagement strategies

  • Why “next best action” models are becoming central to member engagement and population health

  • How generative AI and workflow optimization are streamlining operations and reducing costs

  • What it takes to embed AI into financial planning, provider contracting, and long-term ROI strategies

Panelists:

  • Romilla Batra, MD, MBA, SVP & Chief Medical Officer, Premera Blue Cross

  • Ratnik Gandhi, Senior Director, AI, Florida Blue

  • Emily Allred, Senior Director & Actuary, Large Group Pricing, Blue Shield of California

  • Dean Noble-Tolla, PhD, Chief Product & Analytics Officer, Prealize Health

Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. Download here.

  continue reading

99 episodes

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