How to Build an AI-Native Health Plan with Mario Schlosser
Nov 28, 2023
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Mario Schlosser, Cofounder and President of Technology at Oscar Health, explores how AI can revolutionize traditional healthcare by enhancing efficiency, personalizing care journeys, and integrating real-time data insights. They discuss benefit-less benefit designs, the role of incentives in member behavior, and the potential for machine learning to improve outcomes. They also touch on the future of networks in healthcare and the impact of AI on affordability, efficiency, and member experience.
AI advancements in healthcare can enhance efficiency, personalize care journeys, and integrate real-time data insights.
Moving towards 'benefit-less' benefit designs can lead to better health outcomes and cost savings by continuously learning about individuals' preferences and utilization patterns.
Deep dives
Mario Slauser's Inspiration for Starting Oscar Health
Mario Slauser, co-founder and former CEO of Oscar Health, explains that his motivation for starting the company stemmed from his experience in the online gaming industry, where he witnessed the power of incentives in influencing user behavior. He recognized the potential for using similar strategies in the healthcare sector, particularly in an insurance company, to improve health outcomes. Mario saw the insurance company as the only entity in the healthcare system with the ability to deploy such tools and influence both members and providers through adjusting benefits and reimbursements.
AI and its Potential Impact on Insurers
During the podcast, Mario Slauser and Julie Yu discuss how AI can revolutionize the insurance industry. They explore various possibilities for leveraging AI, including creating personalized health insurance plans. Mario emphasizes the importance of moving towards benefit-less benefit designs, where the plan continuously learns about individuals' preferences and utilization patterns, enabling it to offer better outcomes at a more affordable cost. The use of AI in insurers has the potential to redefine plan design, member experience, and provider contracts.
Mario Slauser's Role as President of Technology at Oscar Health
Mario Slauser transitioned from the role of CEO to President of Technology at Oscar Health. In his new position, he oversees the engineering, product, and data science teams. Mario views this shift as an opportunity to focus on running these core areas of the business and addressing key questions such as how technology can drive business metrics and how the platform can be made more accessible to others in the healthcare system. His role also involves advancing Oscar's long-term vision of utilizing technology to create better health insurance outcomes for members.
Building an Insurance Company with a Tech-Driven Approach
Mario Slauser recounts his journey of starting Oscar Health and explains why they decided to build their own insurance company rather than relying on existing providers. He highlights the significant role incentives played in influencing member behavior and how insurance companies have the power to deploy similar tools to impact both members and providers. Mario also discusses the challenges of integrating technology in healthcare, emphasizing the importance of controlling infrastructure and leveraging data insights to create a consumer-centric and cost-effective health plan.
Mario Schlosser, cofounder, former CEO, and current President of Technology at Oscar Health, joins Julie Yoo of Bio + Health.
The conversation explores how AI advancements can revolutionize traditional healthcare models by enhancing efficiency, personalizing care journeys, and integrating real-time data insights. Mario also discusses "benefit-less" benefit designs, where healthcare plans learn from and adapt to individual consumer patterns, at least theoretically leading to the holy grail of better health outcomes and cost savings.
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