AI is now a practical operating priority for health plans. The biggest questions are no longer about whether AI can create value, but which use cases are working, how to govern them responsibly, and how to move from pilots to measurable performance.
This workshop will feature health plans of different sizes and leaders from across the payment integrity spectrum. Together, they will share real-world AI applications across claims review, fraud detection, documentation intelligence, provider engagement, anomaly detection, and pre-pay cost avoidance. The session will begin with health plan case studies, followed by an interactive audience Q&A panel where payer leaders will share lessons on what is working, where challenges remain, and what it takes to scale AI safely and defensibly.
Takeaways
• Pinpoint where AI is already delivering value across payment integrity workflows
• Understand what needs to be in place to scale AI responsibly and defensibly
• Learn how health plans are managing automation alongside provider relationships, regulatory pressure, and ROI expectations
Time:
9:00am
Session Type:
General Session (Presentation)
Force Inline Description:
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