Machine Learning in Healthcare
Mario discusses the unique challenges of applying machine learning within health plans, highlighting the balance between unstructured data and structured decision-making processes. He emphasizes the importance of transparency and determinism in claims processing, noting that while LLMs can enhance certain endpoints, they cannot fully replace established rule-based systems. The conversation also touches on innovative tools that streamline contract processing within the claims system.In this clip
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How to Build an AI-Native Health Plan with Mario Schlosser
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