Transform the Data Foundations Holding Back Healthcare

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Ashish Manne

Principal Cloud Architect/Hybrid Cloud/Cybersecurity/Artificial Intelligence Optum

Agenda Day 1

4:15 PM THINK TANK | MAKING DENIALS ACTIONABLE – WHAT TO FIX, WHAT TO ACCEPT, AND WHO OWNS IT?

Denials are rising, but not all denials are the same. Some are driven by poor documentation, unclear policies, or late data. Others reflect genuine coverage rules or clinical disagreement. Many organizations treat them as one big problem, which fuels frustration, finger-pointing, and wasted effort on issues that were never fixable in the first place. Before bots, appeals engines, or AI-driven workflows can add value, organizations need a shared pre-automation foundation that distinguishes winnable fixes from structural constraints. Without that clarity, teams simply burn capital fighting the wrong battles, while patients sit in the middle.

• Separate denial drivers that are genuinely fixable from those that are structural or policy driven

• Compare how leaders are creating shared visibility into denial categories so both sides work on the same problem

• Clarify where accountability should sit for fixing issues versus accepting them as design constraints

Check out the incredible speaker line-up to see who will be joining Ashish.

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