A Health plan run by 3 people

Day one at the Becker's Healthcare Payer Issues Roundtable in Chicago. If I had to keep one sentence from today, it would be from Dennis Depenbusch of Blue Cross and Blue Shield of Kansas at the AI and Digital Transformation panel: In the near future, a health plan built from the ground up on AI will be run by three people.

He was making a point, not a forecast. People will matter. But the line exposes the question most plans are not asking out loud: how does an organization built on legacy structure get to an agentic, AI-driven operating model?

Not by pushing AI into legacy operations. That gives you faster versions of the same workflows and the same results. The plans that lead this decade will be designed from the ground up.

There is a way to do that without disrupting what works:

1. Stand up a separate AI-driven ops layer with its own 3Ps: new PEOPLE, new PROCESS, new PLATFORMS.
2. Connect it to the legacy ops framework.
3. Move programs across one at a time, as the new layer proves itself.

Legacy ops keep running. Nothing breaks. And the new layer has full freedom to be designed the way a plan would be built today, not the way it was built twenty years ago.

That is the transition path - not a bolt-on. A parallel new operating layer that earns its way in.