NL Journal of Medical and Pharmaceutical Sciences
(ISSN: 3108-0502)
The Transformative Impact of Artificial Intelligence on Community Health Centers
Author(s) : Siamak Zadeh*. DOI : 10.71168/NMP.02.02.130
Abstract
Community health centers, including Federally Qualified Health Centers (FQHCs) as well as Accountable Care Organizations (ACOs), serve as critical safety-net providers for vulnerable populations across the United States. These institutions face mounting challenges including persistent health inequities, limited financial resources, complex reimbursement structures under the Prospective Payment System (PPS), and difficulties in patient engagement and care coordination. This paper examines the transformative potential of artificial intelligence (AI) in addressing these multifaceted challenges. Through a comprehensive review of current literature and emerging AI applications, this research demonstrates how AI-driven solutions particularly agentic care coordination and intelligent benefits management systems can enhance care quality, reduce disparities, improve patient outcomes, and optimize financial sustainability. The analysis reveals that while community health centers currently struggle with fragmented care delivery and inadequate resources for chronic disease management, particularly for at-risk and rising-risk patients, AI technologies offer promising pathways for systemic improvement. Keywords: Artificial Intelligence, Community health centers, FQHCs, ACOs, Care Coordination, Benefits management, Prospective Payment System.
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