Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Issues And Trends In Healthcare Delivery System

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...

Health Information Technology and Healthcare Information System

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:

Introduction To Health Care Delivery System

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...

Standards of Care II

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:

Methods Of Healthcare Delivery System

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...

Purpose of Health Records I

Purpose of Health Records I

The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Patient perspectives on clinicians' use of ambient AI scribes.

JAMIA open·2026

Same author

Advertising in AI-Powered Clinical Decision Support Tools.

JAMA·2026

Same author

Ethical Assessment of Generative AI Tools for Clinical Summarization Tasks.

The American journal of bioethics : AJOB·2026

Same author

Utah's Experiment With AI-Driven Prescription Renewals.

JAMA health forum·2026

Same author

Session Introduction: Fairness and Bias in Biomedical AI/ML: Defining Goals and Putting Them Into Practice.

Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing·2026

Same author

Stakeholder views about the responsibilities of principal investigators in multicenter randomized controlled trials.

Clinical trials (London, England)·2026

Search research articles

Related Experiment Video

Updated: Jan 13, 2026

Introduction of an Integrated Pathology Image Management, Artificial Intelligence, and Reporting System

Introduction of an Integrated Pathology Image Management, Artificial Intelligence, and Reporting System

Published on: July 11, 2025

The AI Arms Race In Health Insurance Utilization Review: Promises Of Efficiency And Risks Of Supercharged Flaws.

Michelle M Mello¹, Artem A Trotsyuk², Abdoul Jalil Djiberou Mahamadou³

¹Michelle M. Mello (mmello@law.stanford.edu), Stanford University, Stanford, California.

Health Affairs (Project Hope)

|January 6, 2026

Summary

This summary is machine-generated.

Artificial intelligence (AI) in healthcare offers benefits but raises concerns. Responsible AI governance is needed to maximize advantages and minimize risks in prior authorization and claims.

More Related Videos

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index

Published on: January 8, 2020

Author Spotlight: Improving Radiation Therapy Access with Radiation Planning Assistant

Author Spotlight: Improving Radiation Therapy Access with Radiation Planning Assistant

Published on: October 6, 2023

Related Experiment Videos

Last Updated: Jan 13, 2026

Introduction of an Integrated Pathology Image Management, Artificial Intelligence, and Reporting System

Introduction of an Integrated Pathology Image Management, Artificial Intelligence, and Reporting System

Published on: July 11, 2025

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index

Published on: January 8, 2020

Author Spotlight: Improving Radiation Therapy Access with Radiation Planning Assistant

Author Spotlight: Improving Radiation Therapy Access with Radiation Planning Assistant

Published on: October 6, 2023

Area of Science:

Health Informatics
Artificial Intelligence in Healthcare
Clinical Governance

Background:

Health insurers and providers increasingly adopt AI for prior authorization and claims.
AI adoption presents challenges including user understanding, algorithmic opacity, and potential biases.
Existing institutional governance has not fully addressed responsible AI implementation.

Purpose of the Study:

To examine AI innovation in utilization review.
To identify challenges in ensuring responsible AI use in healthcare.
To propose steps for beneficial AI implementation while mitigating risks.

Main Methods:

Empirical research on AI utilization in healthcare.
Ethical assessments of AI tools within a health system's governance process.
Analysis of AI adoption in prior authorization and claims.

Main Results:

Utilization review is a key area for AI innovation.
Ensuring responsible AI use is complex due to various user and algorithmic factors.
Current governance structures are insufficient for managing AI risks.

Conclusions:

AI offers significant potential in healthcare administration.
Addressing "humans in the loop," transparency, and bias is crucial for responsible AI.
Proactive steps in AI governance can help realize benefits and minimize risks.