How AI is Predicting Catastrophic Claims (Before They Happen)

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Self-Funded With Spencer

Spencer Smith

245 episodes

4 days ago

Self-funded with Spencer shares inspiring conversations with the most successful and influential people in healthcare - company founders, CEOs, entrepreneurs, doctors, sales leaders, and more - to help educate and inspire YOU to become the best version of yourself.

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How AI is Predicting Catastrophic Claims (Before They Happen) | with Sasha Gribov

Self-Funded With Spencer

1 hour 2 minutes 3 seconds

5 days ago

How AI is Predicting Catastrophic Claims (Before They Happen) | with Sasha Gribov

"There needs to be a whole new suite of solutions that are forward looking and proactive and real time, and we gotta go and build that." - Sasha Gribov

My guest this week, Sasha Gribov, founder of Milu Health, is on a mission to build the proactive, forward-looking solutions our healthcare system desperately needs. He joins the show to discuss how he's using AI to create an "early warning system" for health, moving our model from reactive to proactive.

Sasha breaks down the Milu model, which uses AI to analyze health records and claims data in real-time. He explains how this allows his team to predict the need for surgeries an average of 90 days in advance and proactively reach out to members via text (no app required) to guide them to the right, high-value solutions already in their health plan.

We also explore the future of AI in healthcare, why he believes it will "augment" doctors, not replace them, and how this proactive approach is the key to saving lives and finally lowering costs for employers.

Tune in for a look into the future of proactive healthcare!

Chapters:

(00:00:00) How AI is Predicting Catastrophic Claims (Before They Happen)

(00:04:15) Why We Must Integrate All Health Data

(00:10:23) The "Early Warning System" for Patients

(00:12:40) Why EMRs are the Key to Proactive Care

(00:31:57) Predicting Surgeries 90 Days in Advance

(00:08:04) Will AI Replace Doctors?

(00:59:47) Building a Proactive Healthcare System

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