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Current Trends For Payers - No Analysts Needed

Health plans continue to face operational delays due to fragmented systems and an over-reliance on manual reporting cycles. While data analysts work across multiple platforms to produce static reports, the insights often arrive too late to support real-time decisions. This episode explores why traditional models are no longer sustainable and how self-service dashboards, powered by a connected data ecosystem, are transforming operational agility. Listeners will hear how prebuilt metrics provide immediate visibility across functions such as claims, call center performance, and ID card fulfillment, enabling teams to respond faster, stay compliant, and enhance member outcomes. The discussion also covers adoption strategies, ROI considerations, and the organizational shift toward on-demand, decision-ready data.

Listen now to discover how leading health plans are moving from reactive operations to real-time insight, without relying on analysts.

About Our Guest: 

Michael Waxman is a health plan operations leader with over 20 years of experience as a health payer consultant at PwC and EY. He recently served as the Director of Business Operations for the post-implementation operations of a technology ecosystem for a Medicare Advantage client. Using a self-service dashboard, he ensured operational alignment for the health plan’s provider data, claims, credentialing, cross-functional alignment for call center, disputes, utilization management, and more. 

About the Author

Niki Driscoll is the host of Current Trends for Payers podcast and serves as a Product Marketing Manager at HealthEdge. Her work centers on the trends and innovations shaping the payer market, with a focus on modernization, AI, and next-generation operating models.

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