In this episode, Dr, Sweta Singh and Jon Shreve explore how artificial intelligence is reshaping case management workflows while keeping human judgment firmly at the center of care decisions. Through real-world perspectives, the discussion examines how AI can reduce administrative burden, synthesize complex clinical information, and support more timely, informed decision-making—without replacing the expertise of case management professionals.

The conversation also dives into the evolving relationship between providers and payers, highlighting how clearer clinical summaries, improved documentation, and standardized data exchange can streamline authorizations and peer-to-peer reviews. From change management and team adoption to transparency, trust, and patient experience, this episode unpacks what it truly takes to integrate AI responsibly and effectively into healthcare operations.

This episode was sponsored by MCG Health: At MCG Health, we believe every patient deserves the right care at the right time. As part of the Hearst Health network, MCG delivers evidence-based clinical guidelines and AI-powered technology that guide case management professionals toward better outcomes for their patients. Over 3,000 hospitals, a majority of health plans, and many state and federal government agencies rely on MCG’s trusted, unbiased clinical guidance and AI to support accurate, efficient, and compassionate care decisions. With rigorous scientific processes at our core and innovation in our DNA, we help caremanagement organizations improve the patient journey while reducing unnecessary administrative burdens. MCG Health — the source of truth for clinical decisions. Learn more at mcg.com.