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Executive Perspectives on Scaling AI in Healthcare

Beyond Compliance: Why Interoperability Is Becoming Healthcare’s Competitive Infrastructure

For much of the last decade, interoperability has been viewed through the lens of compliance. Healthcare organizations invested in APIs, FHIR implementations, patient access rules,…

Trust at Scale: Operationalizing AI Responsibly Across Healthcare

Across healthcare, organizations are investing heavily in AI to improve operational efficiency, support clinical decision-making, and create better experiences for patients and members. As adoption…

Care Coordination Reimagined: Five Lessons for an AI-enabled Future

Reducing the cost of care means making every interaction count. Whether it's helping a member reach the right specialist, catching a care gap before it…

The State of Healthcare AI in 2026 

75 senior healthcare executives reveal where the industry really stands on AI. The ambition is aligned; the readiness is not. See the maturity gaps, investment…

The Agentic Evolution: The Payer’s Guide to the Next Automation Era 

Payers have hit the ceiling of rules-based automation. The next era is intelligent orchestration across claims, prior authorization, utilization management, and member service. Drawing on…

Managing the Margin Reset in Medicare Advantage

The CY2027 Advance Notice isn’t a routine rate update. A near-flat base update, normalization pressure, revised sources-of-diagnoses policy, and encounter-based validation are collectively narrowing revenue…

The Five Levers That Win CY2027

Medicare Advantage is entering a margin maturity phase. Rate pressures are intensifying, audit scrutiny is tightening, and the gap between top-quartile and average plans could…

CMS-0057: The Interoperability Imperative 

CMS-0057 is redefining how health plans operate, not just what data they expose. With 2026 reporting requirements approaching and full API enforcement in 2027, payers…

Modernizing Claims Operations with Agentic Automation

Payers are dealing with rising claim volumes, more complex cases, and pressure to reduce administrative costs. Even with solid rules and bots, 15–20% of claims…

Closing the AI ROI Gap in Healthcare

Healthcare organizations are investing heavily in AI to improve operations, cut costs, and enhance patient care. But despite the promise, most initiatives fail to scale.…

Unlocking Trusted Digital Transformation in Life Sciences

Life sciences organizations are advancing digital initiatives to accelerate innovation in R&D, diagnostics, and regulatory processes. But despite significant investment in AI, ML, and cloud…