The Beat, powered by HLTH, is a weekly interview series dedicated to paving a better path forward for the future of health. Each week a variety of hosts bring you authentic conversations with prominent thought leaders. Through these interviews with people at the forefront of change in healthcare, we hope to spark new ideas and encourage new collaborations among listeners.
All content for The Beat is the property of HLTH and is served directly from their servers
with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
The Beat, powered by HLTH, is a weekly interview series dedicated to paving a better path forward for the future of health. Each week a variety of hosts bring you authentic conversations with prominent thought leaders. Through these interviews with people at the forefront of change in healthcare, we hope to spark new ideas and encourage new collaborations among listeners.
How Optum Is Using Real-Time Intelligence to Eliminate Avoidable Claim Denials
The Beat
11 minutes 14 seconds
2 weeks ago
How Optum Is Using Real-Time Intelligence to Eliminate Avoidable Claim Denials
Real-time transparency between payers and providers is becoming one of the most transformative levers in the healthcare industry.
In this episode, Madhu Pawar, Chief Product Officer at Optum, discusses how her team is tackling the long-standing inefficiencies buried in today’s claims processes. She explains how Optum Real connects payers and providers through a real-time multi-party hub, uses AI to interpret contracts and encounter data, and equips providers with AI-first workflows that dramatically reduce denials, rework, and confusion for patients. Madhu also highlights early pilot results with Allina Health, demonstrating improvements in both patient experience and operational accuracy. She shares why 84% of first-time denied claims are avoidable, why eliminating that friction is at the core of Optum’s mission, and why value-based care will benefit enormously from real-time intelligence. Looking ahead, Madhu outlines a bold vision in which real-time payment flows, AI-enabled clinical insights, and improved data exchange reshape the entire system's operations.
Tune in and learn how real-time transformation could redefine healthcare’s future.
The Beat
The Beat, powered by HLTH, is a weekly interview series dedicated to paving a better path forward for the future of health. Each week a variety of hosts bring you authentic conversations with prominent thought leaders. Through these interviews with people at the forefront of change in healthcare, we hope to spark new ideas and encourage new collaborations among listeners.