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Reducing Payer-Provider Friction with AI

Oracle via YouTube

Overview

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Explore how artificial intelligence transforms healthcare payer-provider relationships in this 45-minute keynote from the Oracle Health and Life Sciences Summit 2025. Learn from Seema Verma, Executive Vice President and General Manager of Oracle Health and Life Sciences, and Optum leadership as they discuss innovative strategies for reducing operational friction between healthcare payers and providers. Discover how Optum leverages Oracle Health's AI-powered solutions to streamline workflows, utilize clinical data for smarter decision-making, and enhance patient access to information. Examine the role of AI in strengthening population health initiatives, improving collaboration across the healthcare ecosystem, and setting new standards for value in payer operations. Gain insights into system performance optimization, patient engagement strategies, and affordability challenges from both provider and payer perspectives. Understand Optum's comprehensive services overview, including pharmacy innovation, value-based care implementation, and digital tools integration. Explore current market trends, regulatory considerations for interoperability, and opportunities to address administrative waste and workforce shortages through AI applications in coding, patient care, mental health, and primary care delivery. Learn about the challenges and logistics of expanding value-based care beyond owned networks, AI solutions for physician documentation, next-generation EHR systems, and strategies for overcoming current AI obstacles in healthcare. Access practical takeaways for accelerating digital transformation within your healthcare organization using Oracle Health's technology platform.

Syllabus

00:00:00 Optum and Oracle Health: AI for Payer Success
00:04:45 System Performance, Patient Engagement, Affordability
00:08:16 Provider vs. Payer Perspectives
00:09:20 Optum Overview and Services
00:11:07 Pharmacy Innovation and Patient Impact
00:13:12 Value-Based Care Areas and Examples
00:15:12 AI and Digital Tools in Care
00:19:15 Market Trends and Full Accountability
00:21:17 Embracing AI, Technology, and Partnerships
00:22:13 AI in Diagnosis and Administration
00:24:22 Current AI Obstacles in Healthcare
00:25:28 Regulatory Role in Interoperability
00:27:21 Administrative Waste and Workforce Shortages
00:28:24 AI Opportunities in Coding and Patient Care
00:30:48 Tech To Amplify Mental and Primary Care
00:32:47 Value-Based Care Outside Owned Network
00:34:41 Logistics and Challenges in Expansion
00:37:13 AI for Physician Documentation
00:38:00 EHR Frustrations and Next-Gen Solutions
00:41:18 UnitedHealth Group Mission and Challenges
00:44:46 Final Takeaways

Taught by

Oracle

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