Explore how AI, interoperability, and automation can help payers reduce administrative friction, address fraud and waste, and improve the experience for members and providers. Hear how payer leaders are using technology to streamline prior authorization, strengthen program integrity, and advance more connected, value-based approaches to healthcare at https://social.ora.cl/6007BGXVmZ In this keynote replay from Oracle Health and Life Sciences Summit 2026, Seema Verma, EVP and GM of Oracle Health and Life Sciences at Oracle, joins leaders from Aetna, AHIP, and the State of Indiana Family and Social Services Administration to explore how payers are addressing rising healthcare costs while improving access, efficiency, and the member and provider experience. The conversation examines how AI and automation can reduce administrative friction, particularly around prior authorization, where payers and providers continue to rely on fragmented processes and manual exchange of information. Hear how greater interoperability between clinical and claims data could support faster decisions, more real-time approvals and payments, and a more connected relationship between payers and providers. Fraud, waste, and abuse are another major focus. Panelists discuss how AI can help identify unusual activity earlier, strengthen program integrity, and protect resources while helping ensure patients receive appropriate care. They also address the importance of trust and transparency as AI becomes more integrated into payer operations, including maintaining clear boundaries between using AI to improve workflows and making clinical decisions. The discussion extends to Medicaid, prescription drug affordability, specialty therapies, and value-based reimbursement. Learn how payer leaders are thinking about balancing access and affordability, measuring outcomes rather than volume, and using better-connected data to support new payment approaches. Together, these priorities point toward a payer ecosystem where technology works increasingly in the background to reduce unnecessary costs and friction while supporting patients, providers, and more sustainable healthcare programs. 00:00:06 Payers and Healthcare Transformation 00:02:15 Rising Healthcare Costs and Affordability 00:04:17 Indiana Medicaid Cost Challenges 00:06:34 Using AI to Reduce Friction 00:08:18 Building Trust Around Payer AI 00:11:10 Rethinking Claims and Clinical Data 00:13:31 Interoperability and Real-Time Payments 00:16:29 Connecting Healthcare Data with AI 00:17:39 Fighting Waste, Fraud, and Abuse 00:21:27 Preparing for Medicaid Changes 00:24:16 Medicaid Eligibility and Work Requirements 00:26:24 Drug Pricing and Breakthrough Therapies 00:29:51 Balancing Drug Innovation and Affordability 00:31:00 Value-Based Pricing and Outcomes 00:33:23 Closing Remarks Oracle Health: Intelligent solutions powering healthcare. Oracle Health supports providers, payers, and public health organizations with a secure, comprehensive suite of cloud-based solutions. Built on enterprise-grade infrastructure, our unified solutions help safeguard patient data, streamline operations, alleviate administrative burden, and deliver near real-time insights for connected, efficient care. AI is embedded into every layer of our technology—from our data platforms to our cloud applications—providing actionable insights that help you deliver efficient, enhanced care. And it all runs on our secure, scalable AI infrastructure built for the demands of healthcare. Like what you learned about Oracle Health Summit 2026? Subscribe now: https://social.ora.cl/60025k87j Join us at Oracle AI World Vegas: https://social.ora.cl/60035eVvJ Contact Oracle Health sales: https://social.ora.cl/6009CxxxD Learn more about Oracle Health: https://social.ora.cl/6001CxxxZ Follow us here: LinkedIn: https://social.ora.cl/6000B6oR6p X: https://social.ora.cl/6002B6oRDG Instagram: https://social.ora.cl/60095eXDN Facebook: https://social.ora.cl/60065enQp

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