We’ve all seen the AI “arms race” headlines—but the adoption of AI shouldn’t widen the gap between payers and providers. It should help bring the two sides closer together. As payers and providers rapidly adopt AI across workflows, the bigger opportunity is building more connected strategies that improve accuracy and drive affordability. This panel discussion brings together leaders from both perspectives to brainstorm collaboration strategies and explore how AI can help support real-time, accurate claims adjudication and ultimately help create more seamless experiences across healthcare.
- Provider perspective: The impact of AI tools on claims accuracy and ‘coding intensity’
- Payer perspective: The impact of AI tools on provider relationships, communications, and perspectives on ‘coding intensity’
- How AI can be leveraged to enable collaboration and real-time claims adjudication
In partnership with Optum
Steve Yurjevich
Linde Winton
Linde Winton is the Senior Director of Operations for Provider Partners Health Plan and a healthcare executive with nearly four decades of experience in managed care, Medicare Advantage, compliance, claims administration, and payment integrity. Throughout her career, she has led operational, compliance, quality assurance, audit, and Special Investigation Unit (SIU) programs for health plans, third-party administrators, and healthcare technology organizations.
Linde has extensive expertise in payment integrity, fraud, waste and abuse prevention, regulatory compliance, claims operations, vendor oversight, and healthcare analytics. She has developed and implemented enterprise-wide audit and investigation programs, directed complex regulatory initiatives, overseen large-scale operational improvements, and partnered with organizations to strengthen payment accuracy while maintaining compliance with evolving federal and state requirements.
Recognized for her ability to bridge the gap between operational execution and regulatory oversight, Linde brings a practical, real-world perspective to healthcare payment integrity. Her work has focused on identifying emerging risks, improving claims accuracy, leveraging data analytics to uncover hidden issues, and implementing sustainable solutions that drive measurable results. As a frequent collaborator across operations, compliance, and payment integrity teams, she is passionate about helping organizations navigate today's increasingly complex healthcare environment while protecting the integrity of healthcare payments.
Diane Nguyen
Neeraj Jaiman
Director of Medical Economics with accountability for total cost of care analytics and payment integrity insights across Commercial and Medicare lines of business. Leads advanced analytics to identify key cost drivers, quantify unit cost and utilization trends, and detect payment leakage through contract accuracy, coding, and claims anomaly analysis. Trusted partner to senior leadership on data‑driven strategies that improve affordability, financial performance, and provider accountability. Spearheading the development of payment integrity benchmarks, advanced coding intensity models, and enterprise strategies to mitigate coding intensity through levers such as material change clauses and alternative payment models, including global payments.
Corella Lumpkins
Corella Lumpkins is the Manager of Coding, Compliance & Provider Education at Loudoun Medical Group (LMG) - one of the largest and most diverse physician-owned, multi-specialty Accountable Care Organizations in Northern Virginia/DC suburbs. As a subject matter expert, Corella has over 35 years of experience working in every area of the healthcare revenue cycle. Corella holds a bachelor’s degree and eleven certifications with an extensive background in auditing, billing, coding, implementing corporate compliance programs, CDI, education, denial and practice management. Prior to joining LMG, Corella has held leadership roles at Lifebridge, Medstar, Johns Hopkins and the University of Maryland health systems.
Corella is an author, adjunct faculty member and national speaker currently serving on both the AAPC National Advisory Board and Association of Clinical Documentation Integrity Specialists (ACDIS) Leadership Council. Corella works closely with providers in navigating patient-centric value-based care.
