Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
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Managed Care·June 30, 2026

Cityblock CEO: Most Health Care AI Invests in Billing, Not Care Delivery

Dr. Toyin Ajayi, CEO of Cityblock Health, argues that approximately 60 percent of health care AI investment focuses on billing, coding, and risk adjustment rather than care delivery. Cityblock serves over 100,000 Medicaid and dual-eligible members across ten states. Ajayi contends that redirecting AI investment toward care delivery for high-need populations can lower costs while improving outcomes. She discusses how Cityblock currently uses AI to enhance care and patient experience for Medicaid managed care enrollees.

Why it matters for managed care

MCOs investing in AI for administrative functions may miss cost-saving opportunities from AI-driven care interventions targeting high-cost, high-need Medicaid populations.

Managed Care

Read the full article at kff.org

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