HIMSSCast: Payers and providers gird for an escalating AI prior auth arms race (brought to you by SuperDial)

As health plans expand their use of artificial intelligence for utilization review, hospitals and health systems are adopting AI tools of their own – for documentation, coding automation, denial prediction and more – in an effort to level the playing field. But in an era of aspiration toward value-based reimbursement and of consumer-focused price transparency efforts, could this arms race be cooled for the good of all? Instead of a battle with leading-edge technologies on both sides, can payers and providers find common ground and instead use AI for the greater good – even, just maybe, for their patients and plan members? We speak with Michelle Mello, professor of health policy at Stanford School of Medicine, about those questions and others.