Insights from AHIP 2025 in Las Vegas

AHIP, the national trade association representing the health insurance industry whose members provide health care coverage, services and solutions to more than 200 million Americans gathered in Las Vegas this June for their flagship event. AHIP 2025 brought together the people, ideas, and solutions guiding greater health for years to come. The event took place in Las Vegas from June 16-18th this year. We rounded up some attendees to see what they had to say.

Chris Rigsby, SVP, Payer Solutions, Omega Healthcare
LinkedIn: Chris Rigsby
LinkedIn: Omega Healthcare

At this year’s AHIP meeting, it was clear that health plans are no longer asking if they should adopt AI, but how to apply it across the care continuum. From optimizing value-based reimbursement models to improving chronic care management, AI’s future impact will be shaped as much by trust and strategy as by technology itself. To truly unlock AI’s potential, payers and providers must choose the right partners to advance their operations with confidence and precision.

Shaun Hardin, Director of Product Management, PointClickCare
LinkedIn: Shaun Hardin
LinkedIn: PointClickCare

Care management is one of the most underutilized strategic levers health plans have to reduce readmissions and total cost of care. Too often, care managers are forced to act as investigators, piecing together incomplete data after the fact, instead of proactive planners driving behavior change when it matters most. At AHIP, we discussed flipping that script so that health plans are armed with solutions that give care managers real-time data, rich clinical context, and actionable AI-powered insights. Only then can care managers shift from chasing information to driving proactive care plans that reduce the total cost of care and result in lasting member behavior change.

Kari O’Rourke, NP, President, Imagine Pediatrics
LinkedIn: Kari O’Rourke, NP
LinkedIn: Imagine Pediatrics

Coordinated care for vulnerable populations is often too complex for payers to structure, too fragmented for caregivers to navigate, and too narrow to address the full scope of patient needs. At AHIP, we explored how this fragmentation undermines outcomes and limits both efficiency and effectiveness. The solution isn’t small adjustments – it’s reimagining care delivery from the ground up. True transformation requires a fundamental redesign: one that centers on integrated, wraparound support built on trust, powered by data, and enabled through close collaboration among caregivers, providers, community resources and payers. To advance meaningful value, our care models must reflect the real-world needs of the families we serve. That means designing solutions that are easier to engage with and more responsive to the daily challenges they face. Only then can we fully realize the impact of a sustainable system that increases access, lowers cost of care, and improves outcomes and experiences for those who need it most.

Julie Schulz, MD, MPH, VP of Product, Avalon Healthcare Solutions
LinkedIn: Julie Schulz, MD, MPH
LinkedIn: Avalon Healthcare Solutions

AHIP underscored three realities for me: relentless financial pressure, shifting regulations, and fragmented coordination still anchor providers to fee-for-service—even though value-based models have proven their upside. Meanwhile, the commercial market is years behind Medicare Advantage; Fortune 500 employers are juggling as many as 15 unconnected point solutions, and the model is breaking under its own weight. The path forward isn’t abandoning care standardization but expanding them—using AI to let care flex to patient acuity, setting, and clinician judgment.