Summary
Medicare Advantage Surpasses Traditional Medicare Enrollment: Insights from Insurance Editor at Becker’s Healthcare
Regular guest Jakob Emerson discusses how AI is being used in Health Insurance
Jakob Emerson, the Insurance Editor at Becker’s Healthcare, was recently a guest on our podcast, where he talked about trends within the payer area of healthcare. Jakob covered two major trends – Medicare Advantage and the use of AI within the industry.
Medicare Advantage vs. Traditional Medicare
Jakob noted that Medicare Advantage has surpassed traditional Medicare in enrollment. He also highlighted that enrolling in either of them depends on the situation, as their coverage differs from each other.
AI in Health Insurance
The use of AI in health insurance is becoming more prominent. Jakob spoke about how AI is being used for fraud detection, automated claims processing, population health management, and reduction of prior authorization requirements. It allows better member segmentation and predictive analysis of who will benefit from expensive treatments.
Perspective on AI and Healthcare Processes
Jakob gave a solid perspective on how AI can help with healthcare processes. With the use of AI, humans can gain better information to make existing processes smarter. This can lead to better outcomes for members and payers.
In conclusion, Jakob Emerson’s insights on Medicare Advantage and AI within the healthcare industry provide a refreshing take on the current healthcare landscape. As independent healthcare consumer platforms like ZocDoc emerge, the payers are not sitting back, but are innovating more and more every day.
Note: This is an AI generated transcript, not edited by a staff writer and is solely intended for educational purposes. If you have any questions/concerns, reach out to podcasts@beckershealthcare.com
This episode aired on 05/17/2023 and can be listened here.
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