Why this conference exists.

Healthcare has been digitized.
It has not yet been made intelligent.
Healthcare has been digitized. It has not yet been made intelligent.

Every wave of technology promised change and delivered administration: more systems, more reconciliation, more work for the people it was meant to serve.

That era is ending. For the first time, technology can do the routine work instead of recording it. Clinicians practice medicine. Operators direct systems. Machines carry the routine from start to finish. That is healthcare autonomy, and autonomous operations are how we get there.

Xccelerate 2027 is where it gets built in the open: defined domain by domain, proven by the organizations already running it, and tested by the peers who have to make it work.

~25%
of every US healthcare dollar goes to administration, not care.
Source: Health Affairs and CAQH Index estimates
~2×
hours of administrative work for every hour of direct patient care.
Source: Health Affairs and CAQH Index estimates
64% → 4%
64% of health systems have deployed AI in some form. Only 4% run it inside daily operations, at scale.
Source: to be confirmed

What autonomous operations means.

Autonomous healthcare operations is what happens when AI agents complete routine administrative work from start to finish, inside the systems you already run. People are left free to do the work only they can do.

  1. A signal opens the case

    An order, an eligibility change, a new care gap, or a returned claim. No one has to pick it up.

  2. Agents work it

    Inside your EHR and payer portal, within your policies and clinical guidelines, with an audit trail on every action.

  3. Judgment goes to a person

    Authorization submitted, payment posted, visit booked, gap closed. Exceptions escalate to a human, and adverse decisions stay human.

Autonomy does not remove people.
It stops spending their judgment
on reconciliation, rework, and paperwork.
Autonomy does not remove people. It stops spending their judgment on reconciliation, rework, and paperwork.

Software thatidentifies

Healthcare software has surfaced the work and left people to do it: dashboards, worklists, queues. The record got digitized. The work around it did not move.

open tasksactionable tasks
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The autonomy path

A journey, not a switch.

Every workflow sits somewhere on a six-point scale, from fully manual to fully autonomous. The higher the level, the less avoidable cost and revenue leakage an organization carries, and the more capacity goes back to care teams.

  1. L0No visibilityHuman does everything
  2. L1VisibilityDigitized, work still manual
  3. L2AssistanceSoftware surfaces, human decides
  4. L3Partial automationAI recommends, human approves
  5. Realistic goalL4High automationAgents act, humans review exceptions
  6. L5Fully autonomousAgents act, humans set policy

What this year is about.

Building the autonomous operations infrastructure for healthcare. Three commitments run through every session, every track, and the exhibit floor.

Defined

Domain by domain

Autonomy looks different in revenue, population health, payer, and practice operations. Each gets its own track and its own definition of done.

Proven

By the people running it

Organizations on stage with real outcomes, and agents working real queues on the exhibit floor.

Measured

Not claimed

A first annual benchmark on where the industry stands, and awards judged on autonomous workflows at scale with measurable outcomes.

Built for everyone building autonomous healthcare.

Health systems, health plans, and medical groups, together with the technology partners, policy voices, and press that shape how autonomy gets built. If you own an operating queue, fund the redesign around it, or build the infrastructure underneath it, this room is for you.

Health systems and hospitals

Leaders responsible for revenue, patient access, population health, clinical operations, and the enterprise case for autonomy.

Health plans

Teams running utilization management, risk adjustment, quality, and member operations, and the digital leaders rebuilding the stack underneath them.

Press and analysts

Covering healthcare's shift from AI pilots to autonomous operations, and holding the claims to account.

Technology and infrastructure partners

Cloud, data, interoperability, consulting, and clinical content companies building what autonomous operations run on.

Policy, research, and industry associations

The people setting the standards and laying the regulatory rails that autonomy will run on.

Medical groups, ACOs, and physician practices

Organizations redesigning scheduling, documentation, referrals, and value-based performance.

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© 2026 Innovaccer Inc.  | Xccelerate is our annual customer conference to accelerate healthcare innovation.