The digital front door problem costing millions and how to take control

For health plans, the digital front door plays an increasingly important role in connecting members to efficient, high-quality care. Yet inaccurate directories, generic search results, and one-size-fits-all matching can unintentionally drive unnecessary utilization, higher-cost care, and avoidable medical spend.

As pressure mounts on margins and medical loss ratios, health plans are reevaluating how digital navigation strategies can better align members with high-value providers and more appropriate care pathways, particularly for specialty care where navigation challenges are often greatest.

Join us for this valuable webinar to explore how integrating provider performance insights, tiered network strategies, provider performance data, and AI-enabled navigation capabilities can more effectively direct members, reduce friction in the care journey, and support cost and quality management improvements. 

You’ll learn:

  • Strategies for better optimization of high-value provider networks

  • Ways to reduce friction for members navigating care, especially specialty care

  • How provider performance data can be integrated into navigation solutions to support smarter care pathways for members and improve cost and quality of care

  • How AI-enabled navigation capabilities can help connect members to the right care at the right time

  • And more

Speakers:

Mike Gordon

Head of Product
Pager Health

Mike Gordon is Head of Product at Pager Health, leading an AI-first product organization focused on agentic member engagement, care navigation, and payer orchestration. He has spent more than 20 years in healthcare technology, working across both vendor and payer sides of the industry, with prior leadership roles at Friday Health Plans, Healthx, iTriage (acquired by Aetna), and TriZetto. He has deep expertise in health plan economics, HEDIS and Star Ratings, clinical navigation, and the evolution of empowered, AI-first product teams.

 

Julie Scherer

Chief Solutions Officer
Motive Medical Intelligence

Julie Scherer is Chief Solutions Officer at Motive Medical Intelligence, where she leads healthcare informatics strategy for the company’s Practicing Wisely clinical analytics solution and related support services. She oversees Motive’s clinical informatics team, driving innovations in healthcare performance analytics with a focus on transparency, clinician trust, and actionable insights. She works closely with chief medical informatics officers and client technology teams to integrate and optimize the Practicing Wisely platform across clinical applications. Prior to joining Motive, she served as chief solution architect for Cengage Learning and DigitalThink.

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Build vs. buy: Evaluating AI care navigation that works in the real world