RISE National Speakers Consider Two Sides of AI in Medicare Advantage

  • Mar 20, 2025

    “AI can be used for good or for evil,” stated CMS administrator nominee Mehmet Oz, M.D., during his recent Senate confirmation hearing. Appearing before the Senate Finance Committee on March 14, Oz repeatedly heralded the abilities of artificial intelligence to improve patient care and address fraud, waste and abuse. But reports of Medicare Advantage insurers’ alleged misuse of AI have also eclipsed what many exhibitors and speakers at the recent RISE National 2025 conference view as AI’s potential to be transformative.

    Technology in health care has greatly evolved in the last decade, and while the industry is rapidly adopting time-saving tools and predictive analytics that can save lives, it is reaching an “inflection point,” observed Robby Sikka, M.D., in a keynote session at the industry conference, which was held March 11-14 in San Antonio, Texas. Sikka is an anesthesiologist and tech innovator who uses analytics to help sports teams predict athletes’ risk of injuries.

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  • Lauren Flynn Kelly

    Lauren has been covering health business issues since the early 2000s and specializes in in-depth reporting on Medicare Advantage, managed Medicaid and Medicare Part D. She also possesses a deep understanding of the complex world of pharmacy benefit management, having written AIS Health’s Radar on Drug Benefits from 2004 to 2005 and again from 2011 to 2016. In addition to her role as managing editor of Radar on Medicare Advantage, she oversees AIS Health’s publications and manages the health editorial staff. She graduated from Vassar College with a B.A. in English.

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