Muralidhar Vemulapalli, Chief Enterprise Architect and Acting Chief Technology Officer at Arkansas Blue Cross Blue Shield, tells Chris Gengo, Chief Innovation Officer at HiLabs, why most health plans generate insight but never turn it into an operational decision. Vemulapalli argues that AI governance and a unified data fabric matter less than the decision infrastructure and shared accountability that actually move outcomes. This is part one of a three-part CDO Magazine conversation on enterprise AI strategy in healthcare.