CMS has made its position clear: AI used in utilization management and coverage decisions must have a human in the loop, must not override clinical judgment, and must be auditable. For health systems and payers that have been building AI into their operations, that regulatory posture is reshaping what deployment actually looks like and what accountability structures need to be in place before you go live.
The gap between a successful AI pilot and enterprise-wide deployment was already hard to close. Add CMS scrutiny, evolving guidance on prior authorization, and growing liability questions around algorithmic decision-making, and the finish line has moved. The organizations crossing it are the ones who got governance right before they scaled.
Join a select group of healthcare leaders for a candid, peer-level conversation on what it actually takes to bring healthcare AI across the line in a regulatory environment that is watching closely.
