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Raheel Retiwalla

👤 Speaker
154 total appearances

Appearances Over Time

Podcast Appearances

Founder's Story
He Found $500B Hidden in Healthcare Waste — And Built the AI to Fix It | Ep 283 with Raheel Retiwalla Co-Founder and Chief Product Officer at Boost Health AI

So, for example, imagine if we were to be able to tell your doctor when they're submitting

Founder's Story
He Found $500B Hidden in Healthcare Waste — And Built the AI to Fix It | Ep 283 with Raheel Retiwalla Co-Founder and Chief Product Officer at Boost Health AI

an authorization for you to get an MRI with the right information first time versus what happens today is you submit an authorization, somebody on the payer side reviews it for a week.

Founder's Story
He Found $500B Hidden in Healthcare Waste — And Built the AI to Fix It | Ep 283 with Raheel Retiwalla Co-Founder and Chief Product Officer at Boost Health AI

If it is a complex scenario, then somebody more clinically inclined, a doctor or whatever, has to review that.

Founder's Story
He Found $500B Hidden in Healthcare Waste — And Built the AI to Fix It | Ep 283 with Raheel Retiwalla Co-Founder and Chief Product Officer at Boost Health AI

It can take a cycle.

Founder's Story
He Found $500B Hidden in Healthcare Waste — And Built the AI to Fix It | Ep 283 with Raheel Retiwalla Co-Founder and Chief Product Officer at Boost Health AI

If they don't have all the information, then it goes back to the doctor to submit again.

Founder's Story
He Found $500B Hidden in Healthcare Waste — And Built the AI to Fix It | Ep 283 with Raheel Retiwalla Co-Founder and Chief Product Officer at Boost Health AI

And that cycle can take time from someone who needs care

Founder's Story
He Found $500B Hidden in Healthcare Waste — And Built the AI to Fix It | Ep 283 with Raheel Retiwalla Co-Founder and Chief Product Officer at Boost Health AI

not getting care at that moment in time and we want to avoid that so unlocking the medical policy allows the doctor to be able to validate their submission against the policy real time so even before they submit they're they're getting the information like wait a minute your document isn't isn't your sub your submission isn't complete here's why provide these this level of information go do this do go to the wife

Founder's Story
He Found $500B Hidden in Healthcare Waste — And Built the AI to Fix It | Ep 283 with Raheel Retiwalla Co-Founder and Chief Product Officer at Boost Health AI

And it just reduces that cycle.

Founder's Story
He Found $500B Hidden in Healthcare Waste — And Built the AI to Fix It | Ep 283 with Raheel Retiwalla Co-Founder and Chief Product Officer at Boost Health AI

That's just one example of many, many unlock medical policies.

Founder's Story
He Found $500B Hidden in Healthcare Waste — And Built the AI to Fix It | Ep 283 with Raheel Retiwalla Co-Founder and Chief Product Officer at Boost Health AI

And if you think about the other different document types, you kind of unlock value in a wide variety of ways.

Founder's Story
He Found $500B Hidden in Healthcare Waste — And Built the AI to Fix It | Ep 283 with Raheel Retiwalla Co-Founder and Chief Product Officer at Boost Health AI

So for us, it's really about talking to our health plan clients about that approach.

Founder's Story
He Found $500B Hidden in Healthcare Waste — And Built the AI to Fix It | Ep 283 with Raheel Retiwalla Co-Founder and Chief Product Officer at Boost Health AI

Many are obviously working with us and thinking about this and working on early implementations of their workflows.

Founder's Story
He Found $500B Hidden in Healthcare Waste — And Built the AI to Fix It | Ep 283 with Raheel Retiwalla Co-Founder and Chief Product Officer at Boost Health AI

And that's what we want to tell people is that, look,

Founder's Story
He Found $500B Hidden in Healthcare Waste — And Built the AI to Fix It | Ep 283 with Raheel Retiwalla Co-Founder and Chief Product Officer at Boost Health AI

You know, you spend a lot of money already in point applications, in digital transformation.

Founder's Story
He Found $500B Hidden in Healthcare Waste — And Built the AI to Fix It | Ep 283 with Raheel Retiwalla Co-Founder and Chief Product Officer at Boost Health AI

Focus on what has always been the problem, which are which are these rules.

Founder's Story
He Found $500B Hidden in Healthcare Waste — And Built the AI to Fix It | Ep 283 with Raheel Retiwalla Co-Founder and Chief Product Officer at Boost Health AI

Yes, that's right.

Founder's Story
He Found $500B Hidden in Healthcare Waste — And Built the AI to Fix It | Ep 283 with Raheel Retiwalla Co-Founder and Chief Product Officer at Boost Health AI

Yeah, it's an amazing question because, I mean, you know, the lens we have right now at the moment for Boost Health is focused on payer efficiency, right?

Founder's Story
He Found $500B Hidden in Healthcare Waste — And Built the AI to Fix It | Ep 283 with Raheel Retiwalla Co-Founder and Chief Product Officer at Boost Health AI

Even within the payer efficiency, our goal and our goal generally as a whole, as everybody involved in AI and systems,

Founder's Story
He Found $500B Hidden in Healthcare Waste — And Built the AI to Fix It | Ep 283 with Raheel Retiwalla Co-Founder and Chief Product Officer at Boost Health AI

is not to just do what is already being done, just faster.

Founder's Story
He Found $500B Hidden in Healthcare Waste — And Built the AI to Fix It | Ep 283 with Raheel Retiwalla Co-Founder and Chief Product Officer at Boost Health AI

It's to rewire things because it's, in many ways, the processes that were built were done because of how the situations were at those moments in time, in the past.