WEBINAR ON DEMAND
Duration: 1 hour

Prior authorization and appeals are critical to member outcomes, provider satisfaction, financial performance and CMS Star Ratings. However, these workflows remain complex and costly. 

CMS interoperability rules and state prior authorization reform laws are setting new timelines. With CMS and states pushing for faster, more transparent decision-making, health plans need new approaches. Agentic AI can move beyond static rules to reason through multi-step clinical criteria and orchestrate work across applications and data sources. 

In this webinar, experts will explore how to modernize these workflows while keeping governance and accountability at the center. Attendees will learn:

• Why these workflows have traditionally been difficult to automate
• How agentic AI can navigate complex clinical decision pathways
• What governance, explainability and human oversight should include
• Practical advice for overcoming implementation obstacles 

SPEAKERS

Dilip Sarangdevot
SVP Technology, NASCO, a subsidiary of Blue Cross Blue Shield Michigan

Dr. Sri Ramesh Eevani
AVP Technology, Healthfirst

Alok Mandal
VP & Head of Consulting for Healthcare, Virtusa

Bill Marshall
Industry Principal of Healthcare, Pega