294: Live from ViVE: How payers can reduce friction when the rules change
From Radio Advisory by Advisory Board
April 14, 2026 · 27 min
About this episode
The episode discusses how payers can reduce friction in healthcare amidst changing regulations and rising demands for transparency and accountability.
Payers are operating at the center of converging pressures: rising costs, accelerating utilization, heightened public scrutiny, and a wave of CMS reforms that are reshaping expectations around transparency, interoperability, prior authorization, and accountability. Medicare Advantage has become the front line for these shifts—exposing tensions between regulatory oversight, margin compression, and growing demands for better member and provider experiences. Against this backdrop, health plans are being asked to do more with less—while proving real value through measurable outcomes, trust, and access. In this episode, recorded in February at the ViVE digital health and healthcare innovation conference, Rae Woods moderates a conversation with payer and technology leaders on how AI and data are being used to reduce payer–provider friction, rethink prior authorization, and improve the member experience—without losing sight of accountability or return on investment. Panelists include: Ali Khan, MD, Chief Medical Officer, Medicare at Aetna (a CVS company) Kay Judge, MD, Chief Medical Officer, Medicare at Blue Shield of California Syed Mohiuddin, MD, Head of Healthcare, Anthropic We’re…
People in this episode
Host: Rae Woods
Guests: Ali Khan, MD, Kay Judge, MD, Syed Mohiuddin, MD
Topics covered
- payer-provider friction
- Medicare Advantage
- AI in healthcare
- prior authorization
- member experience
- CMS reforms
Keywords
- healthcare
- payers
- AI
- data
- transparency
- interoperability
- prior authorization
- member experience
Mentioned in this episode
Organizations: Aetna, Blue Shield of California, Anthropic, CMS
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