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In this episode of Curitics Conversations, John Gorman and Unmesh Srivastava sit down with Sachin Jain, President and CEO of SCAN Health Plan, for a deep dive into the real operational dynamics of Medicare Advantage.
Drawing from experience across clinical care, payer operations, and executive leadership, Sachin breaks down what people often misunderstand about how Medicare Advantage plans actually function day to day, from the constant tradeoffs between cost, quality, and access to the structural constraints that shape decision-making.
The conversation explores where integration across utilization management, care management, and population health breaks down and what it actually looks like when it works.
Looking ahead, the group discusses the next phase of Medicare Advantage, including regulatory pressure, operational risk, and where the greatest opportunities exist for plans willing to evolve.
This is not a surface-level conversation, it’s an inside look at how healthcare actually operates.
