
Healthcare Intelligence
Why AI Won't Fix Healthcare Until We Fix Value-Based Care
Healthcare organizations are investing heavily in AI, but are they solving the right problems? In this episode of the Healthcare Intelligence Podcast, former payer executive and McKinsey Senior Advisor Myone Lee shares what healthcare executives need to understand about value-based care, payer-provider alignment, AI, and the future of revenue cycle management. Topics include: Why most physicians still don't fully understand value-based care The biggest mistake providers make when preparing for risk contracts Why data infrastructure—not AI—is the biggest bottleneck How payers are approaching AI in claims, coding, and compliance Why CMS changes will increase audits and documentation requirements Practical advice for provider organizations navigating financial risk Whether you're leading Finance, Revenue Cycle, Managed Care, or Strategy, this conversation offers a realistic look at where healthcare is heading—and what organizations should prioritize over the next year. Guest: Myone Lee Myong Lee is a managed care executive with over 19 years of experience building, scaling, and operating health plans, MSOs, and value-based care organizations, with a track record of leading companies to hundreds of millions of dollars in revenue. He was most recently CEO of Advanced Medical Management/Seoul Medical Group, a full-risk Medicare Advantage IPA. He previously co-founded Clever Care Health Plan, a minority-focused Medicare Advantage health plan, raising $220mm in capital, scaling the business from 550 to over 28,000 members and from $14M to $350M+ in revenue. He currently serves as Senior Advisor at McKinsey & Company, supporting Fortune 500 healthcare clients on strategy, operations, and M&A diligence. His earlier executive roles include VP Payer Contracting at Agilon Health, VP Special Projects and Interim COO at Clover Health, and CFO/COO of Inspira LIFE, where he built health plans and payer contracts at the founding and growth stage. Myong holds an MBA from Arizona State University, a BA in Business Administration and Economics from Franklin & Marshall College, and is currently pursuing a Master of Public Health at Harvard T.H. Chan School of Public Health.

