Driving healthcare innovation through AI, digital transformation, and technology solutions. Empowering payers & providers to improve care and reduce costs.
Moving Prior Authorization Toward Real-Time, Data-Driven Decisions - Prior authorization is evolving toward real-time, data-driven decisions. Here’s what that means and how payers can move forward.
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The ROI of AI in Healthcare: What the Numbers Actually Show - AI in healthcare is delivering real returns but not everywhere. See where ROI is showing up, where it is not, and what separates high-performing organizations from the rest.
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HIMSS 2026 Recap: AI Gets Real in Healthcare - HIMSS 2026 marked a shift from AI hype to real execution in healthcare. Explore key takeaways on ROI, governance, interoperability, and what it takes to scale AI across operations.
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Two AI Operating Models for Prior Authorization. One Foundation for Both. - AI is transforming prior authorization through assistance and orchestration. Learn how both models work and why a shared foundation is key to scaling AI in healthcare operations.
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Assist vs Orchestrate: How AI Actually Evolves in Healthcare Operations - AI in healthcare operations doesn’t move from manual to automated overnight. Learn how AI evolves from assisting teams to orchestrating workflows—and why both stages cre...
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What Google’s 2026 AI Agent Report Gets Right—and What Healthcare Leaders Still Need to Solve - AI agents in healthcare require more than large language models. Learn why unlocking policy logic and using BPMN and DMN is key to building deterministi...
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Two Ways to Apply AI to Claims Integrity. One Foundation for Both. - AI in claims payment integrity isn’t just about automation. Learn the difference between assistive and orchestrated AI—and why both must be built on a shared decision founda...
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The Hardest Part of AI Isn’t Building It. It’s Governing the Portfolio. - AI use cases are multiplying across payer organizations. The real challenge isn’t building them. It’s governing the portfolio.
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Patients and clinicians are already using AI to navigate healthcare.
OpenAI’s new healthcare data makes one thing clear: the friction is operational, not clinical.
Here’s what that means for payers and providers.
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Big Predictions for 2026: From AI Experiments to AI Operations - Big predictions for 2026 on how AI moves from pilots to operations, why most efforts stall, and how the Factory and Foundry model helps organizations scale AI.
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What the Smartest Healthcare Teams Are Doing With AI Right Now - What 17 podcast conversations reveal about how healthcare teams are really using AI today. Practical lessons from leaders who are already doing the work.
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