The specialty care experience for Medicare Advantage (MA) members s often fragmented, leading to higher costs, delayed care, and poorer health outcomes. Forward-thinking health plans are changing that by integrating AI into physician-led care models that prioritize coordination, personalization, and outcomes. In this episode, explore how physician-led models and AI-enabled solutions are overcoming common barriers to transform specialty care—improving access, reducing costs, and driving better outcomes.
Guests:
- Julia McDowell, Vice President, AI Center of Excellence atHighmark Health
- Mary O’Connor, MD, Chief Medical Officer atVori Health
- Krystal Revai, MD, MPH, CHIE, Associate Chief Medical Officer atHealth Alliance
- Chuck Palermo, Vice President, Operations at Health Alliance Plan (HAP)
Learn how leading health plans are:
- Leveraging AI to enhance care planning, streamline complex medication management, and support shared decision-making—especially for seniors and high-risk populations
- Aligning incentives with specialists to improve quality and controlling unnecessary spend in resource-constrained environments
- Scaling care pathways to enhance the MA member experience throughout their healthcare journey—from diagnosis to treatment
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