AI and data are being used to transform the health insurance industry by personalizing experiences, enhancing consumer choice, and promoting sustainable innovation.

In this episode of the HLTH Executive Series, Dr. Leana Wen interviews Mark Bertolini, CEO of Oscar Health, who envisions disrupting the health insurance industry with innovative approaches. Bertolini describes Oscar as a “pirate ship” challenging traditional insurers, emphasizing tailored insurance markets, consumer health reimbursement accounts, and integrating mental health services based on his personal experiences. He critiques value-based contracts, advocating for high-performing networks that preserve provider-patient relationships while highlighting the potential of the ACA’s risk adjustment mechanism to expand consumer choice. Additionally, Oscar Health leverages AI to enhance efficiency and reduce costs while remaining cautious about biases in clinical data.

Tune in to discover how Oscar Health is revolutionizing the insurance industry with AI and data innovation!

Resources:

Connect with and follow Mark Bertolini on LinkedIn.

Follow Oscar Health on LinkedIn and visit their website.