Georgia, Illinois, Colorado and other states have passed new 2026 laws requiring human review of AI-driven health insurance decisions, responding to fears that automated claims and coverage systems were operating with too little human oversight.
Foundation Health's AI system PAIGE is now automating refill processing, adherence outreach, and prior authorization at Intermountain Health's specialty pharmacy, part of a 2026 wave of AI tools aimed at pharmacy administrative work.
A Johns Hopkins Wilmer Eye Institute study published in npj Digital Medicine found that African American patients with diabetes were far more likely to be referred for an eye exam when an AI-assisted retinal screening tool was used during a primary care visit.
Humana's new Agent Assist tool, built with Google Cloud's Gemini models, now supports more than 20,000 member advocates handling roughly 80 million calls a year, arriving as states pass new laws restricting AI's role in insurance coverage decisions.
Massive Bio has been named an OpenAI Select Partner to expand its AI platform that matches cancer patients with clinical trials, converting dense trial eligibility criteria into structured data for faster review by oncologists.
Proscia has won FDA clearance for its Concentriq AP-Dx digital pathology platform to include a Predetermined Change Control Plan, letting it add support for new scanners without filing separate approvals each time.
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