Agentic Healthcare by Case Health AI

In this episode, we break down the five most important factors health plans and care management platforms should consider when selecting an AI vendor. From defining your exact use cases — whether it’s automating intake, clinical review, or decision-making — to evaluating technical fit, compliance safeguards, and long-term partnership potential, you’ll learn how to make a decision that drives real...

Protecting sensitive healthcare data is paramount when building and deploying artificial intelligence (AI)solutions. At Case Health AI, we are committed to upholding the highest standards of data security andprivacy for our health plan partners. This article explains how we keep healthcare data secure whileenabling our AI models to deliver insights. We introduce key security measures—ranging from...

Every health plan is feeling the pressure to automate—and AI seems like the answer. But should you build your own AI solution for prior authorizations, or partner with a vendor? In this episode, we break down why partnering with a platform like Case Health AI (CHAI) is often the smarter move. From skyrocketing in-house development costs to constant maintenance headaches, we explore how vendors off...

A behind-the-scenes podcast at the intersection of healthcare, AI, and enterprise transformation. Join Masud Hossain and guests as they decode the systems powering modern healthcare—from the algorithms making clinical decisions to the policy shifts shaping patient outcomes. Each episode offers deep dives, unfiltered conversations, and practical insight for builders, leaders, and skeptics alike.

📌 Overview: In this episode, we break down the new CMS-0057-F Final Rule and what it means for Medicare Advantage plans. From faster prior authorization decisions to mandatory FHIR-based APIs, we cover the biggest changes, the 2026–2027 compliance deadlines, and the operational and technical steps plans need to take. Whether you're on the product, compliance, or engineering team, this is your...

In this episode, we explore how AI is revolutionizing prior authorization and claims processing in healthcare payer organizations. From eliminating manual bottlenecks to complying with CMS-0057-F, learn how intelligent automation is driving faster approvals, lower costs, and better patient outcomes. Featuring real-world case studies and strategic insights for CIOs and product leaders.