Becker’s Payer Issues Podcast cover image

Becker’s Payer Issues Podcast

Balancing Innovation and Ethics: The Role of Agentic AI in the Payer Landscape

Apr 8, 2025
Neetu Rajpal, CEO and co-founder of Lilac Software, discusses the transformative impact of agentic AI in healthcare payers. She reveals how AI can streamline claim processing and close care gaps, especially in crucial areas like breast cancer screenings. Neetu emphasizes the importance of ethics, addressing bias in AI training, and ensuring patient-centered design. The conversation also dives into the balance between innovation and trust in healthcare technology, highlighting the need for regulatory compliance as we navigate this evolving landscape.
16:17
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Episode guests

Neetu Rajpal

Podcast summary created with Snipd AI

Quick takeaways

  • Agentic AI streamlines claims grievances and enhances care delivery, allowing healthcare payers to allocate human resources more effectively.
  • Ethics and patient-centered design are crucial in AI implementation, ensuring bias reduction and addressing the needs of vulnerable populations.

Deep dives

The Role of Agentic AI in Healthcare

Agentic AI represents a significant advancement in artificial intelligence, with the capability to not only understand and analyze data but also to take autonomous actions based on that data. This technology mimics human-like reasoning and can streamline processes such as claims grievances by gathering and analyzing all necessary information without human intervention. For instance, when a member files a grievance regarding a denied claim, agentic AI can efficiently cross-reference relevant details and generate a tailored response, significantly speeding up the resolution process. This capability allows organizations to allocate human resources more effectively by having agents handle more complex cases, while simpler tasks are managed by AI systems.

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