In this episode of the AI in Business Podcast, Matthew DeMello interviews Raheel Retawala, Chief Strategy Officer at Productive Edge, about how agentic AI is transforming care management and disease management in the healthcare industry. Raheel discusses the pressures driving the adoption of AI, including financial risks tied to outcomes, staffing challenges, and the complexity of chronic conditions. He provides real-world examples of how US and international health plans are using AI agents to improve benefit utilization, medication adherence, and streamline behavioral health management. Raheel emphasizes that agentic AI is not meant to replace care managers but to augment their capabilities by providing real-time insights and automating mundane tasks. He also outlines a maturity curve for AI deployment, starting with data summarization and progressing to task execution, offering actionable insights for healthcare leaders seeking to implement AI solutions.
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