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Transforming Payor-Provider Collaboration Through Next-Gen AI

Transforming Payor-Provider Collaboration Through Next-Gen AI

At HLTH 2025, EPAM’s Timothy Hughes and Xsolis’ Zach Evans took the stage to discuss AI-powered payor-provider collaboration. Together, the pair unpack a multi-year partnership that has produced scalable, AI-powered solutions that reduce administrative burden, improve data transparency and support more efficient interactions across the healthcare ecosystem.

In this session:

  • Applying generative AI to standardize utilization review and reduce variability in clinical workflows 
  • Improving payor–provider alignment through shared data, clearer insights and more complete clinical context 
  • Reducing denials and rework by elevating the quality and consistency of submissions 
  • Streamlining appeals processes through AI-assisted documentation and automation 
  • Using predictive analytics to support length of stay management and discharge planning 
  • Embedding human-in-the-loop design to ensure clinical accuracy, trust and adoption 
  • Advancing toward agentic AI to further automate and orchestrate complex healthcare workflows

Explore this real-world example and a practical view of what’s next as generative and agentic AI continue to evolve in healthcare.

Read the full EPAM-Xsolis case study, here.

Meet the Speakers

  • Tim Hughes

VP, Client Partner, Life Sciences & Healthcare, EPAM

  • Zach Evans

Chief Technology Officer, Xsolis

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