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AI for Care (with Guardrails)

Healthcare-MD | playbook | Updated 2026-02-26

Tags

healthcare, ai, guardrails, safety, accountability

AI can help clinicians draft and organize. It must not become an unaccountable decision machine.

AI should do more of

  • paperwork drafting (with clinician review)
  • summarizing patient history (with citations/links to source)
  • benefits/billing navigation for patients
  • prior auth packet assembly (not decision-making)
  • routing and triage support (with human accountability)

AI should NOT do

  • opaque denial decisions
  • “optimize revenue” coding without transparency
  • replace informed consent conversations
  • high-stakes triage without clear human ownership and appeal paths

Always required

  • auditability (why did it recommend that?)
  • an appeal path (for patients and clinicians)
  • responsibility assigned to a human role

Plain-language safety rule

If you can’t explain it, audit it, and appeal it, it doesn’t belong between a patient and their care.

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