The Forecasting Frontier: How AI is Reshaping Risk, Revenue, and ROI
Release Date: 09/02/2025
Sidecar Health CEO Patrick Quigley: Fixing Health Insurance by Rewiring the Incentives
Bright Spots in Healthcare
What happens when a health plan stops trying to optimize a legacy system and instead rebuilds the model itself? In this episode of Bright Spots in Healthcare, Eric Glazer sits down with Patrick Quigley, CEO and co-founder of Sidecar Health, for a candid conversation about redesigning health insurance around transparency, incentives, and consumer agency. Rather than focusing on incremental reform, this discussion explores what changes when members can see prices before they receive care, when benefits are structured around clear dollar amounts instead of opaque contracts, and when savings can...
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How Highmark, Independent Health, Johns Hopkins Health Plan and MedOrion Are Rebuilding Member Engagement in Medicare Advantage
Bright Spots in Healthcare
In this Bright Spots in Healthcare episode, Medicare Advantage leaders confront a hard truth: high activity does not guarantee high impact. As Stars cut points rise and margins tighten, traditional segmentation and broad outreach strategies are no longer sufficient. This discussion explores how leading plans are shifting from static stratification to dynamic signal monitoring, identifying which members are realistically movable, and embedding behavioral intelligence directly into operational workflows. The focus is not on doing more. It is on doing what measurably drives lift. Our guests...
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From Experience to ROI: How Mount Sinai Is Rethinking Diagnostics, AI, and the Inpatient Care Journey
Bright Spots in Healthcare
This episode features a highlighted segment from the ROI Centered Care Virtual Summit, produced by Bright Spots Ventures in partnership with TytoCare and the American Telemedicine Association. In this conversation, Eric Glazer sits down with Fernando Carnavali, MD, Associate Professor of Medicine at the Icahn School of Medicine at Mount Sinai and Chief of General Internal Medicine at Mount Sinai Health System, to explore how large academic health systems can translate patient experience, diagnostics, and technology innovation into measurable ROI. Rather than focusing on new tools for their own...
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How Sutter Health Is Rebuilding the Physician Pipeline
Bright Spots in Healthcare
What happens when a health system stops trying to recruit its way out of a workforce challenge, and instead redesigns the pipeline itself? In this episode of Bright Spots in Healthcare, Eric Glazer sits down with Dr. Lindsay Mazotti, Chief Medical Officer of Medical Science and Education at Sutter Health, for a candid, system-level conversation about rethinking how physicians are trained, supported, and developed for the future of care. Rather than focusing on workforce shortages as a policy or awareness problem, this conversation explores what happens after the reality is already clear—when...
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Inside ViVE 2026 with Rich Scarfo (HLTH/ViVE) & Russ Branzell (CHIME) – Part 2: Turning Conversations Into Outcomes
Bright Spots in Healthcare
In Part Two of this special ViVE series, the conversation moves from why ViVE exists to how leaders and solution partners actually extract value from it. Eric Glazer continues the discussion with Rich Scarfo, President of HLTH/ViVE, and Russ Branzell, President & CEO of CHIME, focusing on how different audiences experience ViVE and what separates attendees who walk away with clarity and momentum from those who don’t. Rich and Russ share practical perspectives on how senior healthcare leaders should navigate ViVE, how to balance content sessions with curated meetings, and what intentional...
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Inside ViVE 2026 with Rich Scarfo (HLTH/ViVE) and Russ Branzell (CHIME) - Part 1
Bright Spots in Healthcare
ViVE was created to break the mold of healthcare conferences — fewer distractions, more meaningful conversations, and content leaders can act on. In this first episode of a special two-part series, Eric Glazer sits down with Rich Scarfo, President of HLTH/ViVE, and Russ Branzell, President & CEO of CHIME, to unpack the origin of ViVE, the CHIME + HLTH partnership, and what senior leaders can expect in 2026. Together, they explore why executives needed a new kind of platform, what problems they’re trying to solve when they come to ViVE, and how topics like cybersecurity, cost...
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Scott Becker | Motion vs. Momentum & How Healthcare Founders Build Companies That Actually Scale
Bright Spots in Healthcare
What actually determines whether a healthcare business compounds, or quietly stalls? In this episode of Bright Spots in Healthcare, Eric Glazer sits down with Scott Becker, Founder and Publisher of Becker’s Healthcare and host of the Becker Private Equity & Business Podcast, for a candid, experience-driven conversation about building businesses that scale with confidence. Scott has spent decades building, advising, and investing in companies across healthcare, media, law, and private equity. Rather than walking through a framework or checklist, this conversation focuses on the real...
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From Empty Spaces to Care Hubs: OSU Medicine’s Virtual Access Playbook
Bright Spots in Healthcare
What if your next “new clinic” isn’t a new build at all? This episode features the opening presentation from the recently held ROI Centered Care Summit—a half-day virtual summit produced by Bright Spots Ventures in partnership with TytoCare and the American Telemedicine Association (ATA). Jared Droze, Director of Virtual Care at Oklahoma State University (OSU) Medicine, and Bradley Anderson, DO, Medical Director of Virtual Care at OSU Medicine unpack a practical, scalable access strategy: repurposing vacant facilities and community spaces into hybrid care hubs, bringing “right care,...
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From Mint to Medicine: How Aaron Patzer Is Fixing Patient Communication
Bright Spots in Healthcare
What happens when the founder of Mint.com takes on one of healthcare’s most broken experiences—patient communication? In this episode of Bright Spots in Healthcare, Eric Glazer sits down with Aaron Patzer, Founder and CEO of Vital, to explore how simplicity, clarity, and human-centered design can drive real impact in healthcare. Drawing from his journey building Mint, Aaron shares why most healthcare technology misses the mark, how better communication improves outcomes and ROI, and what leaders must do to design experiences people actually use. The conversation goes deep on: Why...
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Precision Health, AI & Engagement: Dr. Carolyn Jasik on Verily’s Vision for Consumer-Centered Care
Bright Spots in Healthcare
Recorded live at HLTH, this episode of Bright Spots in Healthcare features Dr. Carolyn Jasik, Associate Chief Clinical Officer at Verily, an Alphabet company focused on precision health innovation at scale. Carolyn shares how Verily has evolved through multiple “moonshot” phases, from devices and research to its current focus on precision health, combining AI, data science, and clinical expertise to deliver the right intervention to the right person at the right time. Drawing from her background as a pediatrician, behavioral scientist, and former digital health executive, Carolyn explains...
info_outlineArtificial intelligence is no longer just a buzzword, it’s a practical tool transforming how healthcare organizations prepare for the future. From evaluating and pricing risk with greater accuracy to identifying rising-risk members and strengthening long-term financial strategies, AI is reshaping the very foundations of forecasting in healthcare.
In this episode, leaders from Florida Blue, Premera Blue Cross, Blue Shield of California, and Prealize Health share how they’re applying AI across actuarial, clinical, and data science domains to optimize decisions, improve outcomes, and drive organizational sustainability.
In this episode, you’ll learn:
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How health plans are evaluating and scaling AI models to improve accuracy in forecasting and underwriting
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Real-world examples of AI identifying rising-risk populations and transforming engagement strategies
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Why “next best action” models are becoming central to member engagement and population health
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How generative AI and workflow optimization are streamlining operations and reducing costs
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What it takes to embed AI into financial planning, provider contracting, and long-term ROI strategies
Panelists:
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Romilla Batra, MD, MBA, SVP & Chief Medical Officer, Premera Blue Cross
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Ratnik Gandhi, Senior Director, AI, Florida Blue
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Emily Allred, Senior Director & Actuary, Large Group Pricing, Blue Shield of California
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Dean Noble-Tolla, PhD, Chief Product & Analytics Officer, Prealize Health
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