Neil Batlivala is co-founder and CEO of Pair Team, a provider organization that offers team-guided, AI-enabled care navigation for Medicaid patients.
In this episode, Neil explains how Medicaid programs pay providers, why medical care and social services stay fragmented for the patients who need both, and how Pair Team uses AI care managers and agentic verification to cut the cost of whole-person care.
00:00 Introduction
00:20 What does Pair Team do?
01:37 What did Medicaid patients do before Pair Team?
06:54 Why did Pair Team choose Medicaid over commercial insurance?
08:05 How does money flow through Medicare and Medicaid?
10:22 Why is it hard to innovate across state Medicaid programs?
12:48 How did Pair Team pick Medicaid as its first lane?
19:31 How does Pair Team find its patients?
22:31 How does Pair Team use AI agents?
27:49 Having AI agents prompt the person
31:35 Where does Medicaid coverage miss what patients need?
36:26 Who can Pair Team serve, and who can't?
40:22 What is CMS's ACCESS model for Medicare?
46:56 What's one thing Neil would change about U.S. healthcare?
Learn more about Pair Team: https://www.pairteam.com/
Connect with Neil on LinkedIn: https://www.linkedin.com/in/neil-batlivala/
In this episode, Neil explains how Medicaid programs pay providers, why medical care and social services stay fragmented for the patients who need both, and how Pair Team uses AI care managers and agentic verification to cut the cost of whole-person care.
00:00 Introduction
00:20 What does Pair Team do?
01:37 What did Medicaid patients do before Pair Team?
06:54 Why did Pair Team choose Medicaid over commercial insurance?
08:05 How does money flow through Medicare and Medicaid?
10:22 Why is it hard to innovate across state Medicaid programs?
12:48 How did Pair Team pick Medicaid as its first lane?
19:31 How does Pair Team find its patients?
22:31 How does Pair Team use AI agents?
27:49 Having AI agents prompt the person
31:35 Where does Medicaid coverage miss what patients need?
36:26 Who can Pair Team serve, and who can't?
40:22 What is CMS's ACCESS model for Medicare?
46:56 What's one thing Neil would change about U.S. healthcare?
Learn more about Pair Team: https://www.pairteam.com/
Connect with Neil on LinkedIn: https://www.linkedin.com/in/neil-batlivala/