With the healthcare world changing so quickly, the key to staying ahead is building an audit strategy that adapts to new challenges and opportunities.

Insourcing audits is one of the biggest strategic shifts a PI team can make. Done right, it reduces costs, improves efficiency, and gives health plans greater control. But success doesn’t start with adding new audits — it starts with maximizing what you already have.

Artificial Intelligence (AI) is no longer a futuristic concept — it’s here, and it’s transforming healthcare in real time. From clinical decision support to patient engagement, AI is helping organizations deliver better outcomes at lower costs. One of the most promising, yet often overlooked, applications is in payment integrity (PI), where accuracy, efficiency, and provider trust are critical.  

As healthcare costs in the United States continue to surge, with projections reaching $7.7 trillion by 2032, health plans face mounting pressure to innovate and adapt.

In the intricate maze of healthcare administration, where complexity and cost often hinder efficiency and clarity, a revolution looms on the horizon. AI-driven copilots, are set to transform the landscape of health plan call centers.  Learn more in this article written by Akshay Sharma, Chief AI Officer at Lyric, and Steve Ambrose, Director, Thought Leadership, at Lyric.

I was honored to have the opportunity to speak at Ted AI, the first AI-dedicated Ted conference. The event, held in San Fransisco in October, brought together leaders on the forefront of advancing AI from across the world. Here are my top five takeaways.