Aug 17, 2026 | AI in Healthcare
State agencies and Medicaid program integrity leaders have always operated under pressure to safeguard public resources while ensuring members receive the care they need. Today, those expectations are expanding. Recent legislative and regulatory activity across the...
Jun 19, 2025 | AI for PI Community, AI in Healthcare
A Policy Leader with a Technologist’s Lens At the 2025 AI for PI Summit hosted by the AI for Payment Integrity (AI for PI) Community, Congressman Jay Obernolte delivered a powerful keynote, emphasizing the urgent change needed in healthcare cost containment and AI—and...
Feb 20, 2025 | AI in Healthcare, Payment Integrity
Navigating MLR Compliance with AI-Powered Healthcare Cost Containment Newsflash: Pressures are escalating for healthcare payers again. Faced with intense expectations to manage rising administrative costs while complying with strict medical loss ratio (MLR)...
Feb 11, 2025 | AI for PI Community, AI in Healthcare, Payment Integrity
Healthcare payers face an unprecedented challenge: maintaining financial integrity while preserving vital provider relationships. As claims volumes surge and complexity increases, traditional reactive approaches to payment integrity are no longer sufficient. The...
Jan 21, 2025 | AI in Healthcare
What if the solution to healthcare’s toughest operational and financial challenges – from skyrocketing costs to rampant administrative inefficiencies — was already within reach? Generative AI is more than a disruptive technology—it’s a transformative force...
Jul 10, 2024 | AI in Healthcare, Payment Integrity
At the recent AI for PI Summit, hosted by the AI for PI Community, Congressman David Schweikert delivered a rousing keynote emphasizing the critical opportunities now possible at the intersection of technology, healthcare, and policy. Titled “AI for...
