Key Takeaways The healthcare industry stands at a critical inflection point.  The problem?  Enterprise AI is accelerating fast, but HIPAA wasn’t built for this. Predictive models, LLMs, and NLP systems are now embedded across healthcare workflows, yet the regulatory scaffolding hasn’t caught up. As a result, many health systems are deploying Enterprise AI without the…

Key Takeaways What if prior authorization actually enabled better care—faster? It was supposed to. Prior authorization (PA) began as a clinical safeguard—a way to protect patients from unnecessary procedures and keep healthcare costs in check. But somewhere along the line, it stopped being a guardrail and became a wall. Today, it’s a system powered by…

Key Takeaways Healthcare fraud drains more than $7 billion annually from the U.S. system. And while payers continue investing in detection tools, many are still anchored to systems built for yesterday’s problems. Legacy frameworks flag what they’re told to flag—but fraud no longer plays by those rules. Synthetic IDs, fabricated patient histories, and provider collusion…

Key Takeaways Most healthcare payers aren’t short on models. They’re short on control. Predictive fraud scoring, document analysis with LLMs, even anomaly detection pipelines — they’re all in play. But ask any enterprise team what’s actually working, and the answer gets murky. False positives are climbing. Investigators are overwhelmed. And worse—fraud networks are getting smarter,…

Generative AI models like LLMs are powerful tools, capable of delivering groundbreaking insights—if they’re given the right inputs. But here’s the uncomfortable truth: most enterprises invest heavily in cutting-edge AI, only to watch it stumble because their data is messy, outdated, or incomplete. It’s like hiring a Michelin-star chef but supplying them with stale ingredients.…

For enterprises, the critical question is not 'if' but 'how' to integrate AI, LLMs, and Generative AI effectively into core operations to stay ahead of the competition. Moving beyond experimentation requires a bold strategy—one that challenges norms and redefines how AI can deliver value. Tech adoption follows a predictable path. Unleashing the disruptive power of…