Close collaboration between provider organizations and health plans is essential for success in value-based care, but is often hindered by data silos and misalignment. In this session, Ericka Bauman, Director of Quality Assurance at Your Health, a PCP group serving over 50,000 patients, will share how her organization adapted innovative AI technology to improve quality workflows, enabling real-time insights into quality metrics and opportunities for care gap closure. That transformation both surfaced payer–provider alignment issues with meaningful financial stakes and empowered the organization to boost its quality performance compliance. 

Dr. Michael Barr, former NCQA Executive Vice President, will discuss how the dynamic interplay between providers and payers underscores the need for timely, trustworthy data-powered insights. He’ll explore how responsible AI and operational clarity can help prevent financial losses and generate a positive ROQ (Return on Quality) through proactive, data-informed collaboration. 

Join us to learn how to: 

• Harness AI-powered insights to proactively identify and resolve payer–provider alignment issues before they impact quality and financial performance. 
• Build confidence through transparency, using data-driven clarity to validate quality compliance and strengthen organizational credibility. 
• Transform provider–payer relationships, shifting them from reactive disputes to strategic, trust-based collaboration. 
• Leverage real-world examples, including the recovery of nearly $200K in funding through validated metrics and AI-enhanced workflows."