With healthcare costs on the rise, climbing rates of chronic disease, and increasing regulatory pressure, the shift to value-based care is more important than ever. Payers and providers need to find new ways to optimize care delivery—and AI can help.
In a recent webinar, Edifecs’ Dr. Demitri Plessas (Principal Data Scientist) and Elle Phillips (Senior Customer Program Manager) discussed how agentic AI can support better population health outcomes and more effective value-based care delivery.
Watch the on-demand recording to learn:
- Why healthcare lags behind other industries in adopting new technology
- How healthcare’s tech lag impacts population health
- How AI is helping cut costs and improve value-based care performance
- The role agentic AI can play in value-based care
With healthcare costs on the rise, climbing rates of chronic disease, and increasing regulatory pressure, the shift to value-based care is more important than ever. Payers and providers need to find new ways to optimize care delivery—and AI can help.
Speaker Bios
Dr. Demitri Plessas
Principal Data Scientist, Edifecs
Dr. Demi Plessas serves as Principal Data Scientist at Edifecs, a Cotiviti business, where they architect AI solutions that have transformed payment integrity and value-based care analytics across the healthcare industry. Their innovative bundle-specific risk adjustment models currently process over 1.8 billion claims annually, delivering 20% greater accuracy than industry alternatives while ensuring fair outcomes for vulnerable populations including dual-eligible and LTSS members.
Recognized for excellence in mathematical communication through the prestigious Carl B. Allendoerfer Award, Dr. Plessas brings unique expertise in explainable AI and bias detection to responsible AI deployment in healthcare. They have advised CMS, the VA, and Department of Energy on implementing transparent and validated AI systems and have academic publications proposing the use of social determinants in the execution and payment of value-based care contracts.
At Cotiviti, Dr. Plessas leads the development of provider performance analytics that combine advanced statistical modeling with practical healthcare operations expertise, creating explainable AI solutions that deliver both technical excellence and real-world value for payment integrity programs.
Elle Phillips
Senior Customer Program Manager, Value-Based Care
Elle Phillips drives strategic execution in healthcare operations and technology, with more than a decade of experience advancing value-based care across hospitals, provider practices, ACOs, and health plans. She brings a track record of building high-impact programs that bridge strategy and execution — aligning teams, systems, and workflows to deliver enterprise-scale results.
Her expertise spans provider enablement, tech adoption, and performance operations, consistently improving cost efficiency, quality outcomes, and care delivery. Elle brings a practical, systems-minded approach to transforming healthcare organizations, grounded in cross-sector experience and a deep understanding of the operational realities behind successful value-based care.