Sharpening the Focus on Medical Overspend and Cost Avoidance

2021 will continue to put unprecedented financial pressure on health plans. Plans will need to quickly determine how to lower their medical spend and medical loss ratio (MLR). This challenge will intensify with the projected spike in COVID-19 cases. Regional plans will struggle to make their margins and will be increasingly vulnerable to divestment or acquisition.More than ever, healthcare payers need non-abrasive solutions that can help them quickly identify and reduce medical overspending. Effective identification of other healthcare coverage and other strategic savings initiatives will make a pivotal difference.Conduent, partnered with a data matching industry leader, impacts this challenge with the industry’s first automated coverage that drastically reduces incorrect paid claims while improving member satisfaction.Join our webinar to learn about the next leap in financial and automation intelligence.Featured Speakers

Michael Sauls

Portfolio Executive

Michael is responsible for operational and strategic planning for Conduent’s Healthcare Payer Solutions business, which focuses on optimizing value and outcomes for health plans and their members.

Michael Sauls brings more than 25 years of healthcare IT services, solutions and consulting experience with focuses in both payer and provider domains. He has a proven track-record specializing in business management, strategy, development, operations and client management in addition to serving as a CIO for multiple health plans in both public and private sectors. Prior to joining Conduent, Michael held leadership, sales and executive positions with EDS, Tenet, CSC and DST.


Tom Lukens

COB Operations Manager

In this role, Tom leads the COB team in identifying other primary insurance coverage and returning savings to our clients, while providing a dynamic offering to all stakeholders. Since joining Conduent in 2008, Tom has a strong history of successfully developing and implementing cost savings solutions across commercial and government health plans. Tom is a graduate of Illinois State University where he studied Finance and Insurance.


Annie Chang

Business Solutions Architect

Annie joined Conduent in 2018 as a Business Solution Architect. Annie is responsible for leading healthcare payer third party administration pursuits, supporting the business design of the Conduent HSP core administration platform and working in client implementations.

Prior to joining Conduent, Annie has more than 15 years as Product Director of multiple Medicare Advantage systems focused on financial reconciliation with CMS, Enrollment Processing, Risk Adjustment at MMC 20/20 and Plan Data Management (later bought out by Trizetto/Cognizant). Annie’s deep knowledge in Medicare Part C and D includes operational experience in validating MSP/COB occurrences.

Annie holds a A.B.A in Diplomacy and World Affairs from Occidental College.