Artificial Intelligence (AI) and Managed Care

AI in Managed Care Pharmacy: Leading with Integrity, Innovation & Impact

AMCP is building standards and best practices for AI in managed care pharmacy—ensuring patient-centered, ethically sound, and strategically aligned implementation across pharmacy practice and policy.

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Why AI, Why Now?

AI Is Reshaping Managed Care and AMCP is Turning Change Into Opportunity

AI can improve outcomes and efficiency, but payers need clear standards to ensure reliability, transparency, and equity. AMCP is launching initiatives focused on standards and best practices for AI, creating education, and fostering partnerships to guide responsible AI adoption.

Key AI Opportunities

Improve medication access and adherence
Streamline prior authorization and formulary management
Power real-time decision support
Increase pharmacy workforce efficiency
Identify cost savings and quality gaps
Enable precision, patient-centered care

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Testimonials

Without guardrails, AI risks deepening inequities. With AMCP, we can help build the road and the rules.

Linea Wilson, MBA, CFHP,

Managing Partner ,

Talavay Consulting Group

Key Initiatives

AI & Technology LINK

AMCP Members can join the AMCP LINK Interest Group on AI for collaborative thought leadership and events on this critical topic.
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Policy & Regulatory Tracker

State and federal legislation impacting AI and managed care pharmacy
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Ethics & Governance Guidance

Aligning transparency, auditability, and fairness
Regulatory Affairs Engagement

Bridging policy gaps with boards of pharmacy and legislators

Listen to AMCP Podcast on AI

AMCP Unscripted guest, Joe Honcz, RPh, MVA, MBA and Senior Vice President of Market Access at Petauri, shares insights from his time at Aetna’s Innovation Lab through to today’s cutting-edge applications—from AI-powered health concierges to streamlined prior authorizations and precision drug discovery.

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AI Preconference at AMCP 2026

AI is moving fast, and managed care is evolving with it. Join the half-day AMCP pre-conference at AMCP 2026 in Nashville on April 13, featuring a keynote perspective, expert discussions, and live spotlights showcasing practical, real-world applications.

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Explore AI Resources

Capitol Hill, U.S. Capitol, IRA Workshop

Letters, Statements & Analysis

Economic and utilization outcomes of medication management at a large Medicaid plan with disease management pharmacists using a novel artificial intelligence platform from 2018 to 2019: a retrospective observational study using regression methods

Featured News & Resources

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Webinars

AI’s Ripple Effect: Economic Change, Healthcare Transformation, and Managed Care Pharmacy

Thursday, Feb. 26, 2026 at 12-1pm ET

Webinars

Isatuximab Subcutaneous Administration via On-Body Injector: Pre-Approval Information Exchange (PIE)

Wednesday, Feb. 18, 2026 at 12-1pm ET

Webinars

From Symposium to Solutions: Launching AMCP's Health Disparities LINK

Wednesday, Mar. 11, 2026 at 12-1pm ET

Upcoming Events

Visit the AMCP Calendar

AMCP offers a wide variety of educational opportunities, from events and webinars to online training.

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Annual Conference:

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April 13–16 • • • Nashville, TN

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AI in Managed Care Pharmacy: Leading with Integrity, Innovation & Impact

Why AI, Why Now?

AI Is Reshaping Managed Care and AMCP is Turning Change Into Opportunity

Key AI Opportunities

Key Initiatives

AI & Technology LINK

Policy & Regulatory Tracker

Ethics & Governance Guidance

Regulatory Affairs Engagement

Listen to AMCP Podcast on AI

AI Preconference at AMCP 2026

Explore AI Resources

Legislative Update: House Energy & Commerce Health Subcommittee Holds Hearing on A.I. in Healthcare

Takeaways from AI for Good Innovation Summit in Partnership with DC Tech & Venture Coalition (DCTAV)

State Legislative Update: Artificial Intelligence and Health Policy

Unscripted – The AMCP Podcast: AI in Managed Care Pharmacy: Ethics, Efficiency & Patient Empowerment

Trends in Health Care: Artificial Intelligence and Tech

AI and the Future of Managed Care: Key Takeaways from AMCP's AI Pre-Conference

HHS Issued Strategic Plan for the Use of Artificial Intelligence in Health, Human Services, and Public Health

AMCP Comment on Advancing Governance, Innovation, and Risk Management for Agency Use of Artificial Intelligence

Economic and utilization outcomes of medication management at a large Medicaid plan with disease management pharmacists using a novel artificial intelligence platform from 2018 to 2019: a retrospective observational study using regression methods

Featured News & Resources

Upcoming Events

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