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Making the Way for Innovation

(W4) Unlocking AI’s Potential in Managed Care: An Actionable Roadmap

Wednesday, April 15, 2026
10:15 AM - 11:30 AM CT
Location: Davidson B
CPE
ACPE UAN: 0233-0000-26-022-L04-P | Contact Hours: 1.25 | Activity Type: Knowledge-based
As the pace of AI innovation accelerates, managed care pharmacy stands at a pivotal crossroad. This session will explore how AI is transforming managed care pharmacy today and where it’s headed by 2030, offering an actionable view of its growing influence on health care decision-making. Faculty will begin by addressing the existing need for AI in managed care, highlighting challenges such as fragmented data systems, inefficiencies in formulary management, and the growing demand for personalized, value-based care. Current AI offerings will serve as examples of how technology is already improving operational efficiency and clinical decision-making.

The session will outline a practice roadmap for stakeholders as speakers discuss the vision of a future where AI drives predictive analytics, automates utilization management, enhances patient engagement, and supports real-time decision-making for payers. Attendees will explore the possibilities of AI with an eye towards the future, as we connect today’s offerings to tomorrow’s aspirations.

Learning Objectives:

At the completion of this activity, participants should be able to:
  1. Identify how existing AI technologies are improving operational efficiency, formulary management, and clinical decision-making in managed care pharmacy.
  2. Outline an AI opportunistic roadmap for 2030 while identifying opportunities to overcome current challenges.
  3. Describe actionable strategies and frameworks to address existing challenges.