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Health Care AI

Jadhav headshot
Commentary
Data Doesn’t Save Lives. Insight Does.
12/05/2025
Sujay Jadhav
Real-world data alone cannot advance drug development; only expertly curated, clinically grounded insight can drive meaningful improvements in clinical trials.
Real-world data alone cannot advance drug development; only expertly curated, clinically grounded insight can drive meaningful improvements in clinical trials.
Real-world data alone cannot...
12/05/2025
First Report Managed Care
Conference Coverage
AMCP Nexus 2025: Pharmacy Leaders Weigh the Promise—and Peril—of AI
10/29/2025
Juliet Gallagher
At AMCP Nexus 2025, pharmacy and health plan leaders described how artificial intelligence is moving from slideware to shop floor—promising faster, cleaner workflows while raising urgent questions about governance, bias, and clinical...
At AMCP Nexus 2025, pharmacy and health plan leaders described how artificial intelligence is moving from slideware to shop floor—promising faster, cleaner workflows while raising urgent questions about governance, bias, and clinical...
At AMCP Nexus 2025, pharmacy and...
10/29/2025
First Report Managed Care
News
Assessing Artificial Intelligence Tools for Basal Cell and Squamous Cell Carcinoma Detection
10/15/2025
Juliet Gallagher
The integration of artificial intelligence (AI) into health care continues to expand rapidly, with growing interest in its diagnostic potential. A recent study assessed the diagnostic accuracy of OpenAI’s ChatGPT-4 Omni (ChatGPT-4o) in...
The integration of artificial intelligence (AI) into health care continues to expand rapidly, with growing interest in its diagnostic potential. A recent study assessed the diagnostic accuracy of OpenAI’s ChatGPT-4 Omni (ChatGPT-4o) in...
The integration of artificial...
10/15/2025
First Report Managed Care
Vashi Headshot
Commentary
How Health Insurers Can Implement AI Tools
10/06/2025
Deepan Vashi
This series has covered how health insurers can see real benefit from artificial intelligence (AI) in claims processing, appeals and grievances, member care, risk adjustment, and quality. In our final segment, we look at best practices for...
This series has covered how health insurers can see real benefit from artificial intelligence (AI) in claims processing, appeals and grievances, member care, risk adjustment, and quality. In our final segment, we look at best practices for...
This series has covered how...
10/06/2025
First Report Managed Care
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 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
Vashi Headshot
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 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
Headshots
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, 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
Vashi
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 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
Fisher Headshot
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, 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
Vashi Headshot
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 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
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