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Claimable CEO Dr. Warris Bokhari on using AI to appeal health insurance denials
CNBC Television· 2025-07-21 12:18
Well, many Americans have felt the frustration of getting a healthc care insurance denial leading to hours and hours on the phone, trading emails with the carrier, and oftentimes never getting a solution. But there's a new company that's looking to change all of that. Our next guest runs a platform that uses AI to appeal denials for care to treat 70 autoimmune conditions like Crohn's disease and others.Patients fill out a form and AI handles the leg work scanning health care plans and relevant state and fed ...
General Catalyst CEO: An AI driven power crisis lurks
Yahoo Finance· 2025-06-16 13:38
Welcome to a new episode of Yahoo Finance's opening bid podcast. I'm Yahoo Finance executive editor Brian Sazy. Like I always say, this the podcast that will make you a smarter investor, period.And I want to change it up for this episode. I've spent so much time uh over the past few months talking about AI in the enterprise. Or in other words, AI spreading throughout corporate America, mostly through agents unlocking all sorts of productivity and costing jobs.I want to focus on AI for good and a lot of thin ...
Eli Lilly (LLY) 2025 Conference Transcript
2025-05-15 16:40
Summary of Eli Lilly (LLY) 2025 Conference Call Company Overview - **Company**: Eli Lilly (LLY) - **Date of Conference**: May 15, 2025 - **Key Speakers**: Lucas Montarce (CFO), Mike Zapar (SVP, Investor Relations) Industry Context - **Industry**: Pharmaceutical and Biotech - **Key Topics**: Drug pricing, manufacturing, obesity treatment, market expansion Core Points and Arguments Drug Pricing and Policy - The recent executive order regarding drug pricing is seen as a potential threat, with the administration aiming to lower drug prices, which may involve concessions from the pharmaceutical industry [3][4][6] - Eli Lilly supports efforts to make healthcare more affordable, including direct patient access programs like Lilly Direct [5][10] - The company believes that the comparison of U.S. drug prices to international prices is not appropriate due to different market structures [5][6] - There is optimism about working with the administration to find common ground on drug pricing [7][10] Manufacturing and Cost Implications - Eli Lilly is investing significantly in expanding its manufacturing capacity, increasing its investment from $23 billion to $50 billion since 2020 [17][18] - The shift of manufacturing back to the U.S. may lead to increased production costs and impact gross margins, but the company is confident in offsetting these costs through efficiencies [16][20][21] - The company is focused on maintaining stable gross margins despite potential headwinds from increased production costs [15][20] Obesity Treatment Market - Eli Lilly's obesity treatment pricing is expected to remain stable in the near term due to a duopoly with limited competition [22][23] - The company anticipates price erosion in the future as more competitors enter the market, but believes it can manage this through disciplined pricing strategies [37][38] - The cash pay channel, Lilly Direct, is seen as a way to provide access to patients without insurance coverage, with a gradual increase in employer opt-in rates [40][46] International Market Opportunities - Eli Lilly has launched its products in 40 countries, with significant potential in markets like China, India, and Mexico, which have large populations of potential patients [50][51][53] - The company estimates that there are approximately 900 million patients globally who could benefit from its obesity and diabetes treatments [50][52] - The penetration rate in these international markets is currently low, indicating substantial growth opportunities [50][52] Future Product Development - Eli Lilly is advancing its oral GLP-1 medication, orfaglipirone, with multiple studies underway, and expects significant market potential both in the U.S. and internationally [56][59] - The preference for oral medications varies by region, with a higher acceptance of injectables in the U.S. compared to other markets [60][61] Additional Important Insights - The company is focused on maintaining a disciplined pricing strategy across its product portfolio, despite external pressures and competition [25][26] - Eli Lilly is actively monitoring the impact of Medicare pricing negotiations on its business, noting that Medicare represents a small portion of its overall revenue [35][36] - The company is optimistic about the growth potential in the obesity treatment market, emphasizing the importance of expanding market access and patient mobilization [30][32] This summary captures the key points discussed during the Eli Lilly conference call, highlighting the company's strategies, market opportunities, and challenges in the pharmaceutical industry.