Artificial intelligence is no longer just a buzzword, it’s a practical tool transforming how healthcare organizations prepare for the future. From evaluating and pricing risk with greater accuracy to identifying rising-risk members and strengthening long-term financial strategies, AI is reshaping the very foundations of forecasting in healthcare.

In this episode, leaders from Florida Blue, Premera Blue Cross, Blue Shield of California, and Prealize Health share how they’re applying AI across actuarial, clinical, and data science domains to optimize decisions, improve outcomes, and drive organizational sustainability.

In this episode, you’ll learn:

• How health plans are evaluating and scaling AI models to improve accuracy in forecasting and underwriting

• Real-world examples of AI identifying rising-risk populations and transforming engagement strategies

• Why “next best action” models are becoming central to member engagement and population health

• How generative AI and workflow optimization are streamlining operations and reducing costs

• What it takes to embed AI into financial planning, provider contracting, and long-term ROI strategies

Panelists:

• Romilla Batra, MD, MBA, SVP & Chief Medical Officer, Premera Blue Cross

• Ratnik Gandhi, Senior Director, AI, Florida Blue

• Emily Allred, Senior Director & Actuary, Large Group Pricing, Blue Shield of California

• Dean Noble-Tolla, PhD, Chief Product & Analytics Officer, Prealize Health

Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. Download here.

Learn how AI is already working to close the member engagement gap, transforming intent into impact, personalizing care at scale, and creating the connected experiences members now expect. Leaders from Highmark Health, Ovatient, Cigna, and League share proven strategies, bright spots, and lessons learned in applying AI to drive measurable outcomes, lower costs, and improve the member experience.

In this episode, you’ll learn:

• How AI is turning digital intent into meaningful health actions

• Real-world examples of personalized engagement that improved outcomes and savings

• Why the future of digital health is shifting from mobile-first to AI-first

• What it takes to build a scalable, purpose-built AI platform for healthcare

• How payers and providers can unite around the member with AI-powered engagement

Panelists:

Ian Blunt, VP Advanced Analytics, Highmark Health

Michael Dalton, Founder & CEO, Ovatient

Charles DeShazer, MD, Former Chief Quality Officer, The Cigna Group        

Andrew Dubowec, Chief Growth Officer, League      

Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. Download here.

Resources

Here’s the podcast Eric Glazer referenced during the show: Acquired/ACQ2 Episode: How is AI Different Than Other Technology Waves? (With Bret Taylor and Clay Bavor), August 18, 2025

Thank you to League for supporting this episode. League is the leading healthcare consumer experience platform, reaching more than 40 million people around the world and delivering the highest level of personalization in the industry. Payers, providers, and consumer health partners build on League’s platform to deliver high-engagement healthcare solutions proven to improve health outcomes. Learn more at www.league.com.

How to Engage: Chat with Us: Share your thoughts with Producer Jessica Tenzer at [email protected]

With member engagement driving everything from Star Ratings to care gap closures, health plans are rethinking how they connect with members—pairing rich data with human-centered strategies to create real moments of influence.

In this episode, we explore how payers are:

• Combining multiple assessments, social risk data, and AI to build actionable member profiles

• Using empathy-driven outreach and concierge-style service to build trust

• Leveraging real-time insights to engage members at the right moment

• Aligning cross-functional teams to accelerate innovation and close gaps

• Turning clinical, social, and behavioral signals into measurable quality gains

Whether you focus on Stars, Medicaid quality, or member experience, you’ll walk away with practical strategies to engage more effectively and improve outcomes.

Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. Download here.

Download the Episode Notes and KPI’s: Get the moderator notes and the Key Points of Interest from the episode.  Download here.

Icario Client Summit Information: Additional details about the Icario Summit - Moments of Influence - taking place October 21-23, 2025, can be found here.

Thank you to Icario for supporting this episode. Icario is a leading health action platform that helps payers connect with members in ways that drive measurable results. By combining behavioral science, data-driven personalization, and omnichannel outreach, Icario motivates members to complete critical health actions—closing gaps in care, improving Star Ratings, and reducing avoidable costs—while delivering an experience that feels relevant, human, and engaging. Learn more at www.icariohealth.com.

How to Engage: Chat with Us: Share your thoughts with Producer Nicole Roberts at [email protected]

With adherence measures playing a major role in Star Ratings, Medicare Advantage plans are rethinking how they engage members—moving beyond transactional reminders to personalized, story-driven content that inspires real behavior change.

In this episode, leaders from Zing Health, Horizon Blue Cross Blue Shield of New Jersey, and SmartStory share how they're using storytelling, data, and behavioral insights to:

• Improve medication adherence and close gaps at scale

• Design culturally relevant, human-centered messaging

• Translate member engagement into measurable Star Rating gains

• Avoid common pitfalls in content strategy and execution

Whether you lead pharmacy, Stars strategy, or member engagement, this discussion offers actionable insights to improve performance heading into the 2026 Star Ratings year.

Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. Download here.

here. Thank you to SmartStory for supporting this episode. SmartStory delivers secure, app-like digital experiences that help health plans improve medication adherence, member satisfaction, and quality performance—without requiring downloads or logins. Learn more at  https://www.smartstory.com/

How to Engage: Chat with Us: Share your thoughts with Producer Vekonda Luangaphay at [email protected]

Episode Description: In this episode, League, Vori Health, and Fitzroy International unpack how healthcare organizations are rethinking growth, partnerships, and go-to-market strategies in a rapidly shifting environment.

Learn how leading innovators are:

• Designing scalable, digitally enabled experiences to meet evolving consumer expectations

• Adapting sales and billing models amid policy and reimbursement uncertainty

• Attracting long-term, “patient capital” to fuel innovation in mission-driven organizations

From enterprise partnerships to nimble, virtual-first care models, this discussion delivers fresh perspectives and actionable strategies for leaders navigating transformation across health plans, health systems, and digital health.

How to Engage:

• Chat with Us: Share your thoughts with Head of Production Strategy and Operations, Haritha Krishnarathnam at [email protected]

Episode Description: How can healthcare leaders expand access and improve equity at scale without further burdening overstretched systems?

In this Bright Spots in Healthcare episode, senior leaders from leading provider organizations explore how remote-first, tech-enabled primary care models are transforming access for diverse and underserved populations.

Through real-world examples, clinical, innovation, and strategy experts will highlight how they’re leveraging data, team-based care, and smart technology to:

• Expand access to historically marginalized communities

• Improve care continuity and build patient trust

• Reduce avoidable utilization and enhance system efficiency

• Deliver sustainable, equitable outcomes at scale

Panelists:

• Michael Cui, MD, Associate Chief Medical Informatics Officer, Rush University Medical Center

• Amanda Parsons, MD, MBA, Vice President, Clinical Management, Healthfirst

• Emily Young, MBA, President, Tufts Medicine Integrated Network, Tufts Medicine

• Gabriella Lawrence, Senior Director, Clinical Solutioning, TytoCare

Download the Episode Guide: Summarizing key insights and speaker highlights, this guide is your companion to the discussion. Download it to follow along and take away actionable strategies.

Thank you to TytoCare for supporting this episode. TytoCare is transforming primary care with a smart, remote-first approach that connects patients and clinicians to deliver equitable, efficient healthcare, anytime, anywhere. Learn more here: https://www.tytocare.com

How to Engage:

• Chat with Us: Share your thoughts with Producer Jessica Tenzer at [email protected]

Episode Description: In this episode, Atlantic Health System, Intermountain Health, and Navina explore how AI is transforming value-based care by boosting financial resilience and improving outcomes.

Learn how these organizations are:

• Enhancing risk adjustment and closing care gaps

• Reducing administrative burden through AI-augmented workflows

• Equipping teams with real-time insights to drive performance under VBC models

From virtual medical assistants to smarter financial planning, this discussion offers actionable strategies for leaders across clinical, operational, and financial roles.

Download the Episode Guide: Summarizing key insights and speaker highlights, this guide is your companion to the discussion. Download it to follow along and take away actionable strategies.

Thank you to Navina for supporting this episode. Navina helps physicians thrive in value-based care with an AI-powered platform that turns data into actionable clinical insights. Learn how they’re enabling smarter decisions, better care, and less burnout at www.navina.ai.

How to Engage:

• Chat with Us: Share your thoughts with Producer Vekonda Luangaphay at [email protected]

Scaling AI across a healthcare system takes more than just good technology—it requires effective governance, operational focus, and the right data foundation.

In Part 2 of our conversation with Kiran Mysore, Chief Data & Analytics Officer at Sutter Health, he explores how Sutter is operationalizing AI across its 24 hospitals and hundreds of care sites.

You’ll hear:

• How the AI Council—a cross-functional governance body—ensures alignment, safety, and momentum

• What makes the “Sutter Navigator” platform a game-changer for operational visibility

• Why “speed of business” and “speed of foundation” must be balanced to move fast and responsibly

• How Sutter is applying lessons from finance and retail to transform healthcare

This episode is a masterclass in AI implementation at scale—perfect for health system leaders, innovators, and data executives alike.

About Kiran

Kiran is the Chief Data Analytics Officer at Sutter Health, a leading not-for-profit healthcare network in America. With over 25 years of experience, Kiran has been instrumental in driving digital transformation and leveraging data and AI to generate business value across various sectors, including healthcare, technology, and consulting. 

Before joining Sutter Health in September 2023, Kiran held significant roles at prestigious organizations such as Medtronic, GE, Apple, and St. Jude Medical. His expertise includes optimizing operations, developing real-time insights, and modernizing technology infrastructures. Known for his commitment to fostering data-driven cultures and championing diversity and ethical practices in data, Kiran’s leadership at Sutter Health focuses on making data and insights meaningful to improve healthcare outcomes, operational efficiency, and patient care. His work exemplifies the transformative power of technology in advancing healthcare.

About Bright Spots Ventures

Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation.

We help healthcare leaders discover what’s working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.

How can health systems move from AI experimentation to AI execution at scale, without losing sight of what matters most: patients and providers?

In this two-part episode of Bright Spots in Healthcare, Kiran Mysore, Chief Data and Analytics Officer at Sutter Health, joins host Eric Glazer to explore how Sutter is turning the promise of AI into measurable impact. 

In Part 1, Kiran Mysore, Chief Data & Analytics Officer at Sutter Health, shares how his team is building clinical AI solutions that actually work—because they’re built with empathy, trust, and a clear focus on impact.

He walks us through:

• The strategic approach Sutter takes to choosing AI use cases

• How the team launched an ambient documentation program that reduced charting time by up to 30%

• The keys to earning clinician trust and enabling adoption

• Why ROI isn't always about dollars—but about doing the right thing for providers and patients

Whether you’re just starting your AI journey or looking to scale, this episode offers lessons on building a human-centered AI strategy that providers will actually embrace.

About Bright Spots Ventures

Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation.

We help healthcare leaders discover what’s working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.

Brindha Sridhar, Vice President, Customer Experience Strategy, MetroPlusHealth, discusses how one of New York City’s largest public health plans is transforming the healthcare experience for its diverse and underserved populations. Brindha shares how her team is working to improve member and provider engagement across a city where 90% of members are Medicaid beneficiaries and 30% report a preferred language other than English.

Brindha dives into initiatives aimed at addressing care disparities, including multilingual communication strategies, culturally aligned member onboarding, and integrated provider support. She also outlines how MetroPlusHealth is using real-time member feedback to fuel continuous improvement and why building a high-touch, relationship-driven experience, especially for vulnerable communities, requires both systemic change and frontline empathy.

This conversation offers practical ideas and replicable strategies for any health plan seeking to improve equity, access, and engagement.

This session was recorded as part of the Healthcare Engagement Virtual Summit: Strategies for Plans to Engage Consumers and Providers on May 8, 2025, co-sponsored by Bright Spots in Healthcare, TytoCare and Navina.

For more information on the summit and to see the full video, please go to: https://www.tytocare.com/virtual-summit-healthcare-engagement-strategies-for-plans-to-engage-consumers-and-providers/

About Bright Spots Ventures

Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation.

We help healthcare leaders discover what’s working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.