AI for Managed Care Administration: Enhancement or Replacement? (Part 2)

by George Padron - Last Updated: Aug 20, 2026

Dr. Randy Vogenberg, a healthcare professional and health economist, discusses the integration of AI in managed care with Tamara Thomas, focusing on clinical pathways and expert guidelines. Vogenberg explains that clinical pathways are operational plans based on expert guidelines, which are evidence-based recommendations from medical societies. Challenges include provider burden, potential delays, and the need for human oversight. The conversation also touches on the long-term goal of AI replacing static guidelines, predicting a 10-year timeline.

Part 2 includes the hurdles to expanding AI use in managed care, automation bias, and the timeline before AI-driven dynamic pathways can replace static ones.



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