Which in-network provider to see is one of the most important choices health insurance providers can help members make to ensure their care is on the right track. Common approaches to network navigation focus on process-based rankings, reputation scores, quality and star ratings, or narrow networks, but these solutions are not predictive, outcomes-based, or personalized to each member. With advances in machine intelligence, we are now capable of predicting which providers are likely to achieve the best outcomes for each unique member to proactively enable high-value care, providing health insurers with a unique opportunity to both engage their members and improve outcomes.
In this session, we will discuss how machine intelligence can be used to enable precision network navigation, share an overview of Health at Scale’s unique machine intelligence-based personalized network navigation, and review the results from a scientifically peer-reviewed case study comparing this approach to other provider recommendation solutions on member outcomes and cost of care.
Chief Operating Officer
Zahoor is the COO of HEALTH[at]SCALE. Zahoor was previously Senior Vice President of Technology at Optum, United Health Group. In his roles at Optum he was focused on product innovation and use of transformative technologies to maximize client value in the changing healthcare ecosystem. Zahoor has scaled and grown business within and outside of large enterprises over his career. He holds a BSc in Engineering from the University of Michigan, Ann Arbor and an MEng from Cornell University.
Mohammed Saeed MD PhD
Chief Medical Officer
Assistant Professor, Cardiovascular Medicine
University of Michigan
Dr. Saeed is the CMO of HEALTH[at]SCALE and serves on the Faculty in the Division of Cardiovascular Medicine at the University of Michigan. Before joining the company, he was an Engineering Scientist for Philips Healthcare.
Dr. Saeed completed his medical degree at Harvard Medical School, as well as Master of Engineering and Doctorate degrees in electrical engineering & computer sciences (EECS) from the Massachusetts Institute of Technology. He is board-certified in Internal Medicine and Cardiology and has several years of experience as a clinician.
Elisabeth Berger MBA, Moderator
Director of Growth
Elisabeth is the Director of Growth of HEALTH[at]SCALE. Elisabeth was previously a Senior Product Manager at Syapse, Change Healthcare, and RelayHealth where she helped to build products to maximize the utility of health care data. Elisabeth holds a BSc in Biomedical Engineering from Brown University and an MBA from The Wharton School in Healthcare Management.