Organizational Practices
AI is no longer just something US payers are talking about. It’s something they’re actively building into how they work.
Our team was pleased to present “US Payer Current and Future Adoption of Artificial Intelligence.” Our research at ISPOR on how payers are using AI today and where adoption is headed next. What stands out most is that AI use is already gaining traction in areas like prior authorization, population health analytics, claims processing, fraud detection, and member engagement, with even broader use expected over the next 3 years.
As payer AI capabilities mature, the way organizations generate evidence, communicate value, and engage with payer stakeholders will need to evolve too. Strong data, governance, and operational readiness will be critical.
