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Information Technologies

What is an AI Model?

An AI model is a program or algorithm trained on large datasets to recognize patterns, make predictions, or automate decisions without human intervention. By applying advanced computational methods—such as neural networks, decision trees, or support vector machines—AI models process input data to generate meaningful outputs, such as classifying images, predicting trends, or generating content.

These models are foundational to technologies like voice assistants, chatbots, and self-driving cars, and are continuously optimized through training, validation, and testing phases to improve accuracy and reliability. AI models drive innovation across industries by delivering actionable insights and automating complex tasks, making them essential for modern data-driven solutions.

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Medicare will pilot AI-driven prior authorization in 2026 across six states, targeting high-risk services while clinicians make final decisions.

AI-Powered Prior Authorization Comes to Traditional Medicare

Traditional Medicare will pilot AI-assisted prior authorization in 2026 across six states, focusing on high-risk outpatient services. Clinicians retain final say, but incentives and access concerns loom as CMS tests fraud reduction and “gold card” exemptions. Here’s what providers and patients should know.

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