Advancing Care Coordination, Equity and AI Integration | Predictions for 2025
A prediction for 2025 from Laura Kohlhagen, M.D., MBA, chief medical officer, of Altera Digital Health.
Looking toward 2025, we will see improved care coordination and member engagement as more payers align to trust frameworks and standards like Trusted Exchange Framework and Common Agreement [TEFCA] and Fast Healthcare Interoperability Resources [FHIR].
Kohlhagen
Additionally, more healthcare organizations will leverage AI [artificial intelligence] to identify at-risk patients and proactively provide recommendations for treatment and aid based on social determinants of health. Healthcare organizations placing greater emphasis on health equity will expand initiatives like vaccination campaigns and preventive care programs to better meet the needs of high-risk populations.
Finally, as AI expands across the industry, we will also see increased adoption of AI in claims processing and fraud detection to reduce manual intervention and errors.
Conversations With Perry and Friends: Paul Fronstin, Ph.D.
May 9th 2025Perry Cohen, Pharm.D., a longtime member of the Managed Healthcare Executive editorial advisory board, is host of the Conversations with Perry and Friends podcast. In this episode, his guest is Paul Fronstin, Ph.D., director of health benefits research at the Employee Benefit Research Institute.
Listen
Conversations With Perry and Friends
April 14th 2025Perry Cohen, Pharm.D., a longtime member of the Managed Healthcare Executive editorial advisory board, is host of the Conversations with Perry and Friends podcast. His guest this episode is John Baackes, the former CEO of L.A. Care Health Plan.
Listen
