Episode Details

Anjali Jameson, Chief Product Officer at Arbiter, says the hard part is not gathering data. It is getting action across patients, providers, and payers without breaking what already works.

“Automating something that’s broken is not going to necessarily give us better outcomes.”

Arbiter is a care orchestration platform built for patients, providers, and payers together, not a single point solution. The operating spine ingests and makes actionable data across the patient journey, including provider directories, EMR integrations, claims, and financial and policy data from health plans, then connects it to highly personalized multi channel agentic outreach. You will hear why cross system context matters, how total cost of care stays in view while each stakeholder chases different leading metrics, and what it looks like to move from automation into optimization, like going from a call center scheduling flow to 60 percent conversion and pushing toward 95 percent conversion.

Timeline

00:40 Care orchestration platform, operating spine, data across the patient journey
04:33 Misaligned incentives, prior authorizations, 12 to 14 hours a week
09:42 Total cost of care, star metric, building for different metrics
12:25 Long form personalized videos, transportation, education, medication management
15:02 Prior authorization from three to six days to almost instantaneous
22:07 COVID, provider messaging two, three X, AI responds faster

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