Becker’s Healthcare Podcast

Vinay Kulkarni, Chief Information Officer at SCAN Group

Oct 31, 2025
Vinay Kulkarni, Chief Information Officer at SCAN Group, brings 25 years of tech leadership to the discussion. He reveals how AI and automation are revolutionizing Medicare Advantage, focusing on personalized care for seniors. Vinay highlights the importance of a human-plus-machine approach, improving clinician workflows and reducing administrative burdens. He also discusses how generative AI enhances member experiences and efficiency in contact centers. His insights remind health leaders to prioritize simplicity and empathy in technology.
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INSIGHT

Human-First AI In Medicare Advantage

  • AI and automation should augment humans rather than replace them in Medicare Advantage operations.
  • SCAN emphasizes explainability, fairness, and privacy while using AI to support — not autonomously make — decisions.
INSIGHT

From Cohorts To N Of One

  • Personalizing care requires moving from cohort-level strategies to an 'N of one' approach for each member.
  • SCAN uses AI-driven summarization and clinician co-pilots to scale individualized care and reduce task omissions.
ANECDOTE

Embrace Plan's Medical Record Challenge

  • SCAN's Embrace special needs plan serves residents in skilled nursing and nursing homes who require high-touch care.
  • Staff spent over 1,500 hours retrieving medical records and are automating outbound retrieval to reduce that burden.
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