Becker’s Payer Issues Podcast How AI is Transforming the Payer Strategy
Nov 10, 2025
Dr. Meera Atkins, Chief Medical Officer at Lyric.ai and board-certified OB-GYN, discusses how clinically informed AI can revolutionize payment accuracy in healthcare. She highlights the shift from reactive to proactive strategies in payer-provider relationships, emphasizing the importance of trust and clinical validation. Dr. Atkins explains how AI can reduce administrative burdens and enhance value-based care while ensuring equity and ongoing governance. She offers practical pilot suggestions for healthcare organizations to harness AI effectively.
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From Reactive Audits To Proactive Payments
- Claims review has been a reactive, adversarial process for decades and AI lets payers move left toward prevention.
- Clinically informed AI increases transparency, reduces provider friction, and focuses on high-impact outliers.
Technology Needs Trust To Reduce Adversity
- Technology can enable less adversarial payer-provider relationships but requires intentional trust-building.
- Clinical validation, governance, and willingness to change are essential to realize that promise.
Implement Clinical-First Governance
- Build clinical governance first with multidisciplinary review and continuous monitoring for equity and safety.
- Require explainability so automated decisions can be backed up to clinicians and providers.