Health Care AI

News

Trump Administration to Test AI-Powered Prior Authorization in Medicare

09/25/2025

Grace Taylor, MS, MA

The Trump administration is set to launch a decade-long Medicare pilot that uses artificial intelligence (AI)-driven prior authorization to curb costs, sparking bipartisan concern over access to care and patient safety.

The Trump administration is set...

09/25/2025

First Report Managed Care

Commentary

Optimizing Risk Adjustment and Quality Measurement With AI

09/15/2025

Deepan Vashi

As we’ve covered in the earlier entries in this series, artificial intelligence (AI) is proving useful in streamlining health plan operations of all sorts. AI tools can also augment human expertise for optimal results in less structured but...

As we’ve covered in the earlier...

09/15/2025

First Report Managed Care

Interview

Smarter Prior Authorization: Using AI to Improve Care Access and Cut Costs

08/11/2025

Brian Covino, MD; Siva Namasivayam

In this interview, Brian Covino, MD, and Siva Namasivayam of Cohere Health discuss how AI is revolutionizing the prior authorization process by dramatically improving speed, reducing administrative burden, and enhancing care accuracy—while...

In this interview, Brian Covino,...

08/11/2025

First Report Managed Care

Commentary

Supercharging Digital Twins With Artificial Intelligence Tools

07/29/2025

Deepan Vashi

Digital twins are virtual models of processes, systems, and/or physical objects—including people. A digital twin uses data gathered from sensors, databases, wearables, and applications to simulate how its real-world twin operates. Twins can...

Digital twins are virtual models...

07/29/2025

First Report Managed Care

Commentary

Deciphering Early Signals That Shape Future Therapies

07/07/2025

Ian Fisher

In today’s high-stakes, fast-paced environment for drug development, actions taken in the early stages of research and development (R&D) are shaping more than just clinical pathways. These decisions are helping define the future of drug...

In today’s high-stakes,...

07/07/2025

First Report Managed Care

Commentary

Transforming Appeals and Grievances With Multimodal and Agentic AI

06/17/2025

Deepan Vashi

Discover how leading health plans are using multimodal and agentic AI to transform appeals and grievances—cutting costs, improving compliance, and delivering faster decisions.

Discover how leading health...

06/17/2025

First Report Managed Care

Commentary

Revolutionizing Claims Operations With AI and Agentic Workflows

05/20/2025

Deepan Vashi

Autonomous AI agents and multiagent workflows are 2 key developments enabling payers to revamp current operations while building flexibility for adapting as health care evolves continues to shift toward outcomes-based models.

Autonomous AI agents and...

05/20/2025

First Report Managed Care

News

Revolutionizing Rural Medicine With AI-Powered Mobile Clinics

02/21/2025

Grace Taylor, MS, MA

A new initiative led by the University of Michigan is using artificial intelligence (AI)-driven mobile clinics to bring expert healthcare to underserved rural populations.

A new initiative led by the...

02/21/2025

First Report Managed Care

Conference Coverage

Data-Driven Neurology: Potential AI Patient Care Innovations

02/03/2025

Hannah Musick

Panelists at the 2025 NeuroNet Pro Annual Summit delve into the transformative power of artificial intelligence (AI) and collective clinical data in neurology, showcasing how partnerships and advanced technology are reshaping the landscape of...

Panelists at the 2025 NeuroNet...

02/03/2025

First Report Managed Care

Videos

Utilizing AI-Enabled Remote Wearables for Lifesaving Care

01/29/2025

In this interview with a guest expert, learn about the potential for successes and challenges in implementing AI-enabled remote wearables in health care settings.

In this interview with a guest...

01/29/2025

First Report Managed Care

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