Healthcare IT Today January 20, 2026
The following is a guest article by Gigi Yuen, PhD, Chief Data & AI Officer at Cohere
Prior authorization is entering a moment of major transition. New federal requirements and AHIP-backed commitments taking effect in 2026 are pushing health plans to modernize legacy workflows that have long frustrated providers and delayed patient care. In response, many organizations are exploring AI-driven automation to meet the new standards and relieve administrative burden.
The challenge, however, is that not all AI is built for healthcare. Yes, some of the general-purpose tools can speed up routine tasks, but they are often built without the clinical nuance needed to make accurate decisions. To build a system that is truly faster, safer, and more consistent, health...
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