Verified

Humana

Experimenting
  • Health insurance
  • ~67,060 employees
  • In-house agentic AI platform
  • Google Gemini
  • Agent Assist rollout
  • No AI return or user count

Humana deploys AI mostly in operations: its own agentic AI platform runs Agent Assist, which uses Google Cloud's Gemini models and is rolling out across service centers with more than 20,000 member advocates, while bought tools handle prior authorization (Cohere Health) and CenterWell clinical notes (Abridge). CIO Japan Mehta owns digital and AI. Humana has reported no return it credits to AI and no count of employees using its AI tools; its only savings figure, more than $100 million over a few years, also counts finance outsourcing.

humana.com

Their approach to AI

The platform
Humana built its own agentic AI platform, which runs Agent Assist for member advocates with Google Cloud's models (Feb 2026), and buys AI tools for prior authorization (Cohere Health), clinical notes (Abridge) and its primary care records system (athenahealth).
The models
Agent Assist uses Google Cloud's Vertex AI, Gemini and Gemini Enterprise for Customer Experience; Humana has named no other model provider, and its vendors bring their own models.
The reach
Humana member advocates began using Agent Assist in Oct 2025, with full rollout planned for 2026 across service centers where more than 20,000 advocates handle up to 80 million calls a year; Humana has not said how many use it.
The catch
Humana has reported no return it credits to AI: its only savings figure, more than $100 million over a few years (Nov 2025), also counts finance outsourcing to Genpact, and CFO Celeste Mellet said in Jul 2026 that big benefits from technology are not yet in the results.

Snapshot

Employees
~67,060
Dec 31, 2025 (2025 Form 10-K)
Revenue
$129.7B (2025)
About 15 million medical plan members at Dec 31, 2025
Technology budget
Not disclosed
2025 operating costs were $15.45B; Humana publishes no technology or AI budget
AI/ML headcount
Not disclosed
A senior vice president of enterprise AI and a chief data and analytics officer joined in May 2026
Who owns AI
Japan Mehta, CIO
Since Feb 2025, reporting to the CEO; remit covers technology, infrastructure, cybersecurity, digital and AI
Platform
In-house agentic AI platform
Introduced in 2025; Agent Assist on it uses Google Cloud's Vertex AI and Gemini
Models
Google Gemini
Through Vertex AI; vendors such as Cohere Health and Abridge bring their own
Reach
Agent Assist rollout to call centers
Use began Oct 2025; full rollout across service centers of 20,000+ advocates planned for 2026; no user count published

Key findings

  1. Humana announced Agent Assist on Feb 3, 2026, built on its agentic AI platform with Google Cloud's Vertex AI and Gemini; member advocates began using it in Oct 2025, and Humana planned full rollout in 2026 across service centers where more than 20,000 advocates handle up to 80 million calls a year.

  2. Humana has reported no business return it credits to AI: Jim Rechtin said on Nov 5, 2025 that Humana's new agentic AI platform and its finance outsourcing to Genpact together should save more than $100 million over a few years, and CFO Celeste Mellet said on Jul 29, 2026 that Humana is not yet reflecting big benefits from technology.

  3. Humana's AI leadership grew in 2026: Santosh Bardwaj, formerly of JPMorganChase, joined as senior vice president of enterprise AI and Bhagyesh Phanse, formerly of Starbucks, as chief data and analytics officer in May, Anthropic's chief commercial officer Paul Smith joined the board on Jul 29, and Dr. Shantanu Nundy became chief medical officer on Aug 31 with a remit that includes Humana's use of AI.

  4. CenterWell Senior Primary Care, Humana's clinic business, reported a 64% drop in severe physician burnout after a set of EHR changes that included Abridge ambient AI (Aug 2025), and by Jan 2026 had moved about 350 CenterWell and Conviva sites and more than 1,300 clinicians onto athenahealth's athenaOne.

  5. A class action filed in Dec 2023 alleges that Humana used the nH Predict AI model to cut off post-acute care; a federal judge let four claims proceed in Aug 2025, Humana says physician medical directors, not AI, make those denials, and the plaintiffs' class certification motion is due Nov 5, 2026.

Where Humana sits

Stage
Experimenting

Humana has reported no business return it credits to AI. Its only savings figure, more than $100 million over a few years, is an expectation Jim Rechtin gave on Nov 5, 2025 for the agentic AI platform and finance outsourcing to Genpact combined; the hundreds of millions of dollars of operating model value he cited on Jul 29, 2026 covers centralization, outsourcing and automation with no AI share; and CFO Celeste Mellet said the same day that big benefits from technology are not yet reflected. Gains from single tools are task measures, such as care managers spending half as long on post-call documentation (Oct 2024), not cost or revenue returns. Humana has not reported a company-wide AI rollout with a user count either: member advocates have used Agent Assist since Oct 2025, with full rollout planned for 2026 across service centers of more than 20,000 advocates, but Humana has not said how many use it or named any AI tool for its roughly 67,060 employees as a whole. That leaves Humana at Experimenting although AI runs in production in call centers, care management, prior authorization and primary care; one cost, revenue or headcount return it credits to AI, or a company-wide user count with a named owner, would move it to Piloting.

How the stages are defined
Ownership
CIO Japan Mehta, reporting to the CEO; SVP of enterprise AI since May 2026
Platform
Hybrid: In-house agentic AI platform; vendor AI tools bought
Models
Google Gemini through Vertex AI; vendors' own models in bought tools
Hosting
Google Cloud (cloud deal since Jul 2024; Agent Assist's models); Microsoft Azure, preferred cloud from 2019; third-party data centers
Reach
Agent Assist rolling out to service centers of 20,000+ advocates (2026)

How they deploy

AI inside a cost and operating model overhaul

Humana frames AI as one lever in a multiyear transformation of how it operates. Jim Rechtin told investors on Jul 29, 2026 that Humana's operating model goals are to be simpler, leaner and faster, to lead on innovation through automation, AI and the best-performing vendors, and to attract the best talent. Humana has paired that work with centralization (utilization management moved from 11 markets to one team), outsourcing in finance and HR, an early retirement program, and a transformation office Rechtin said was stood up about 17 months before Apr 2026.

Build the platform on a cloud partner's models

Humana signed a multi-year agreement with Google Cloud in Jul 2024 to modernize its cloud infrastructure and use Google Cloud's generative AI. Humana describes Agent Assist as built on its own agentic AI platform, using Google Cloud's Vertex AI, Gemini and Gemini Enterprise for Customer Experience, and announced it in Feb 2026 as part of an expanded partnership with Google Cloud. Humana has not said whether the platform runs models from any other provider.

Buy specialist AI for clinical and utilization work

Humana buys specialist AI for clinical and utilization workflows: Cohere Health's platform handles digital prior authorization for musculoskeletal, cardiovascular, surgical, diagnostic imaging and sleep services, CenterWell Senior Primary Care uses Abridge for ambient clinical notes, and CenterWell's primary care clinics moved to athenahealth's athenaOne records system in Jan 2026. Genpact runs parts of Humana's finance work and, according to Zacks in Mar 2026, expanded the partnership to AI-enabled work in revenue cycle, procurement and finance and accounting.

Human in the loop for member-facing AI

Humana says Agent Assist keeps a human in the loop in every interaction, with member advocates accountable for what they tell members and for decisions, and that the tool is continuously reviewed and monitored. Humana ties Agent Assist to what it calls a long-standing Responsible AI commitment and operating principles (Feb 2026).

AI expertise added at the top

Humana added AI experience to its leadership and board in 2026. Santosh Bardwaj joined as senior vice president of enterprise AI and Bhagyesh Phanse as chief data and analytics officer in May, Anthropic's chief commercial officer Paul Smith was elected a director in Jul, and Dr. Shantanu Nundy, a former FDA adviser on AI, became chief medical officer in Aug, reporting to Jim Rechtin, with a remit to shape Humana's products, platforms and use of AI with a clinical eye.

Deployment model
Humana runs AI through its central technology organization under Chief Information Officer Japan Mehta, who reports to CEO Jim Rechtin and whose remit covers technology systems, infrastructure, cybersecurity, digital and AI, with business units such as the Insurance segment's service centers and CenterWell's clinics as the users. The agentic AI platform behind Agent Assist is Humana's own build, with Agent Assist using Google Cloud's models and tools, while clinical and utilization tools come from vendors (Cohere Health, Abridge, athenahealth) and finance work from Genpact. Humana hired Santosh Bardwaj as senior vice president of enterprise AI in May 2026, according to Becker's, and Bhagyesh Phanse as chief data and analytics officer to lead its enterprise data and analytics strategy, according to CDO Magazine, but has not published where either team sits.
Model providers
Google is the only model provider Humana has named: Agent Assist uses Gemini through Google Cloud's Vertex AI and Gemini Enterprise for Customer Experience (Feb 2026). Microsoft's Oct 2019 seven-year partnership with Humana included Azure AI services such as translation and voice tools. Humana's vendors run their own AI: Cohere Health for prior authorization, Abridge for ambient notes and athenahealth's athenaOne in CenterWell clinics. Humana has not said whether staff have a general-purpose assistant from OpenAI, Anthropic, Microsoft or Google, although Anthropic's chief commercial officer joined Humana's board in Jul 2026.
Data and infrastructure
The models behind Humana's Agent Assist run on Google Cloud, and Agent Assist draws on Humana's internal health plan information and policy documentation, showing advocates citations and source references (Healthcare Dive, Feb 2026). Humana signed a multi-year agreement in Jul 2024 to further modernize its cloud infrastructure with Google Cloud, which said its customers keep control of their data; Humana has not said which workloads moved. Humana named Microsoft its preferred cloud provider in an Oct 2019 seven-year deal to modernize its platforms and aggregate member data on Azure; Humana has not said whether that arrangement continues past 2026. Humana's 2025 Form 10-K says it depends on third parties for significant parts of its systems, including data center operations and data networks. Humana's chief data and analytics officer said in Dec 2021 that most of Humana's compute was on-premises when he joined in Dec 2018 and that Humana set out to migrate to the cloud.

Platforms and internal tools

  • Agentic AI platform2025

    Humana's agentic AI platform is an in-house platform that Jim Rechtin called newly introduced on Nov 5, 2025; Agent Assist, which uses Google Cloud's Vertex AI and Gemini, is the first capability Humana has named on it. Humana has not published where the platform runs, what else runs on it or how many applications use it.

    Models
    Google Gemini through Vertex AI, for Agent Assist

    Source

  • Agent Assist (member services)Oct 2025; announced Feb 3, 2026

    Agent Assist summarizes calls in real time, anticipates member needs, surfaces benefit and eligibility information with citations, and gives member advocates compliance guidance and automated call summaries, with advocates accountable for every answer. Humana plans full rollout across its member service centers in 2026.

    Users
    Rolling out to service centers where 20,000+ member advocates handle up to 80 million calls a year
    Models
    Google Cloud Vertex AI, Gemini and Gemini Enterprise for Customer Experience

    Source

  • Agent Assist for brokers and sales agentsBy Nov 2025

    Jim Rechtin told Fortune in Nov 2025 that Humana had just rolled out a tool it also calls Agent Assist for brokers and sales agents, to simplify a complicated Medicare sales process. Humana has not said whether the sales tool and the member service tool are the same software.

    Source

  • Cohere Health prior authorization platformJan 2021 pilot

    Cohere Health's prior authorization platform, which uses artificial intelligence, clinical expertise and real-time analytics, began with a musculoskeletal pilot in 12 states in Jan 2021, went to all 50 states in 2022, added cardiovascular and surgical services in Jan 2023, and added diagnostic imaging and sleep services in Apr 2024.

    Source

  • athenaOne in CenterWell clinicsJan 2026

    CenterWell runs athenahealth's athenaOne, a cloud-based records and practice management suite with AI capabilities, across about 350 CenterWell Senior Primary Care and Conviva Care Center sites in 15 states with more than 1,300 clinicians and over 500,000 patients.

    Users
    1,300+ clinicians

    Source

Vendors and partners

  • Google CloudJul 2024; expanded Feb 2026

    Cloud infrastructure, generative AI, and the models behind Agent Assist (Vertex AI, Gemini, Gemini Enterprise for Customer Experience) · A multi-year agreement announced Jul 25, 2024 to modernize Humana's cloud infrastructure and use Google Cloud's generative AI; Humana called Agent Assist part of an expanded partnership in Feb 2026.

  • MicrosoftOct 2019

    Named preferred cloud provider; Azure and Azure AI · A seven-year partnership announced Oct 21, 2019 to modernize Humana's platforms and aggregate member data on Azure; its current status is not published.

  • Cohere HealthJan 2021

    AI-assisted prior authorization · Musculoskeletal, cardiovascular, surgical, diagnostic imaging and sleep services, nationwide.

  • Abridge

    Ambient AI clinical documentation in CenterWell Senior Primary Care · CenterWell reported a 54% reduction in documentation cognitive load and a 64% reduction in severe burnout after Abridge and workflow changes (AMA, Aug 2025).

  • athenahealthJan 2026

    athenaOne records and practice management system across CenterWell primary care

  • Genpact2025

    Finance outsourcing; AI-enabled work in revenue cycle, procurement and finance and accounting · Jim Rechtin announced the finance outsourcing on Nov 5, 2025; Zacks reported the AI-enabled expansion in Mar 2026.

Leadership

AI, data and platform leaders

JM

Japan Mehta

Chief Information Officer

Japan Mehta became Humana's CIO in Feb 2025 after six years at Citi, most recently as Chief Data Officer and earlier as CIO of Citi Global Wealth, with earlier technology roles at JPMorgan, Barclays and Verizon. Mehta reports to Jim Rechtin, runs Humana's technology organization, including infrastructure, cybersecurity, digital and AI, has the Chief Information Security Officer reporting to him, and speaks for Humana on Agent Assist.

SB

Santosh Bardwaj

Senior Vice President, Enterprise AI

Unconfirmed

Santosh Bardwaj joined Humana as senior vice president of enterprise AI in May 2026, according to Becker's, which cited a May 15 LinkedIn post, to set Humana's AI vision across products, clinical services and operations. Bardwaj was most recently a managing director and chief product officer at JPMorganChase and earlier Chief Data & Analytics Officer at CNA.

BP

Bhagyesh Phanse

Senior Vice President and Chief Data and Analytics Officer

Unconfirmed

Bhagyesh Phanse joined Humana as senior vice president and chief data and analytics officer in May 2026, according to CDO Magazine, to lead Humana's enterprise data and analytics strategy, technology modernization and the responsible use of data at scale. Phanse was earlier Senior Vice President and Chief Data and Analytics Officer at Starbucks and held roles at CVS Health and Macy's.

SN

Shantanu Nundy

Chief Medical Officer

Dr. Shantanu Nundy became Humana's chief medical officer on Aug 31, 2026, reporting to Jim Rechtin and sitting on the Enterprise Leadership Team, with a remit to help shape Humana's products, platforms and use of AI with a clinical eye. Nundy came from Accolade, where he was executive vice president of care delivery and chief health officer, and earlier advised the FDA on AI.

Executives

JR

Jim Rechtin

President and Chief Executive Officer

Jim Rechtin joined Humana as President and Chief Operating Officer in Jan 2024 and became CEO on Jul 1, 2024. Rechtin was earlier CEO of Envision Healthcare from 2020 to 2023, President of OptumCare in 2019 and a senior leader at DaVita Medical Group from 2014 to 2019, and he set out Humana's expected AI platform savings on the Nov 2025 earnings call.

CM

Celeste Mellet

Chief Financial Officer

Celeste Mellet became Humana's CFO in Jan 2025 after serving as CFO of Global Infrastructure Partners, Evercore and Fannie Mae and spending more than 18 years at Morgan Stanley. Mellet said on Jul 29, 2026 that Humana is not yet reflecting big benefits from technology in its cost results.

SS

Sanjay Shetty

President, CenterWell

Dr. Sanjay Shetty has run CenterWell, Humana's primary care, home and pharmacy business, since Apr 2023 after nearly 13 years at Steward Health Care, most recently as President; Shetty was earlier a Bain & Company consultant and a radiologist. CenterWell runs Humana's ambient AI documentation and the athenaOne rollout.

AM

Aaron Martin

President, Insurance segment

Aaron Martin joined Humana in Jan 2026 as President of Medicare Advantage, a new role, began running the Insurance segment day to day in Apr 2026, and became its president when the previous president retired on Jun 29, 2026. Martin was earlier Vice President of Healthcare at Amazon from 2022 to 2025 and Chief Digital Officer of Providence, and the Insurance segment he leads runs Agent Assist in its member service centers.

Board

PS

Paul Smith

Director

Paul Smith, Chief Commercial Officer of Anthropic, was elected to Humana's board effective Jul 29, 2026, bringing it to 13 directors. Smith was earlier Chief Commercial Officer of ServiceNow and held senior roles at Salesforce and Microsoft; Humana cited his experience helping large enterprises adopt AI at scale.

AI org map

Central technology organization under the CIO; AI used in the service centers and CenterWell clinics

Humana runs technology, data and AI through Chief Information Officer Japan Mehta, one of its executive officers, who reports to Jim Rechtin, and added a senior vice president of enterprise AI and a chief data and analytics officer in May 2026. Humana's two segments, Insurance and CenterWell, are the main users of AI: the Insurance segment's member service centers run Agent Assist, and CenterWell's clinics run ambient documentation and athenaOne. A transformation office, which Jim Rechtin said was set up about 17 months before Apr 2026, tracks Humana's efficiency initiatives and lends staff to the business units, which own the changes.

Humana has not published the size of its AI or data science workforce. Humana's AI work sits in the technology organization under Chief Information Officer Japan Mehta, with a senior vice president of enterprise AI and a chief data and analytics officer hired in May 2026, and in the business units that use it: the Insurance segment's service centers, where more than 20,000 member advocates work, and CenterWell's primary care clinics, with more than 1,300 clinicians. Humana also relies on outside partners for much of its AI: Google Cloud for the models and tools in Agent Assist, and Cohere Health, Abridge, athenahealth and Genpact for specialist tools and services.

Reporting lines

  • President and CEO

    Jim Rechtin

    • Chief Information Officer

      Japan Mehta

      Technology systems, infrastructure, cybersecurity, digital and AI; reports to the CEO according to Humana's investor relations biography

      • Information Security

        Led by the Chief Information Security Officer, who is not named in the filing; reporting line from the 2025 Form 10-K

    • Chief Financial Officer

      Celeste Mellet

      Finance outsourcing to Genpact

    • Chief Medical Officer

      Shantanu Nundy

      Since Aug 31, 2026; remit includes Humana's use of AI; reporting line from Humana's Aug 2026 release

    • Insurance segment

      Aaron Martin

      Includes Medicare Advantage and the member service centers where Agent Assist runs; Martin its president since Jun 29, 2026

    • CenterWell

      Sanjay Shetty, President

      Primary care, home health and pharmacy; ambient AI and athenaOne in the clinics

  • Enterprise AI

    Santosh Bardwaj, SVP

    Created or filled in May 2026 according to Becker's; reporting line not published

  • Enterprise data and analytics

    Bhagyesh Phanse, Chief Data and Analytics Officer

    Filled in May 2026 according to CDO Magazine; reporting line not published

  • Transformation office

    Tracks efficiency initiatives and lends analysts and staff to business units; set up around late 2024; leader and reporting line not published

  • Board Technology and Audit Committees

    Joint oversight of IT controls, cybersecurity and emerging technology such as AI (2025 Form 10-K)

Humana does not publish an org chart. The 2025 Form 10-K lists Japan Mehta among Humana's executive officers and says the Chief Information Security Officer reports to him, and Humana's investor relations biography says Mehta reports to Jim Rechtin; Humana has not published where the enterprise AI and data and analytics teams sit. Humana's Aug 2026 release says Chief Medical Officer Shantanu Nundy reports to Rechtin. Humana's Apr 29, 2026 earnings release set Aaron Martin's formal move from President of Medicare Advantage to President of the Insurance segment for the previous president's retirement on Jun 29, 2026, and Healthcare Dive described Martin as the segment's leader in Aug 2026.

Named people

Executive sponsors
  • Jim Rechtin

    President and CEO

  • Celeste Mellet

    Chief Financial Officer · Gives the cost and transformation figures on earnings calls

Technology, data and AI
  • Japan Mehta

    Chief Information Officer

  • Santosh Bardwaj

    Senior Vice President, Enterprise AI · Hired May 2026, according to Becker's

  • Bhagyesh Phanse

    Senior Vice President and Chief Data and Analytics Officer · Hired May 2026, according to CDO Magazine

Clinical leadership and AI
  • Shantanu Nundy

    Chief Medical Officer (since Aug 31, 2026)

  • Tom Yackel

    Chief clinical excellence officer, CenterWell Senior Primary Care (Aug 2025) · Described the Abridge ambient AI rollout to the AMA

Business units using AI

Use cases

Humana has named a handful of AI use cases in production: Agent Assist for member advocates and for brokers and sales agents, generative AI for care management documentation, AI-assisted prior authorization through Cohere Health, and ambient clinical notes in CenterWell primary care. Humana has published no business return for any single use case. Humana's only AI-linked financial figure is Jim Rechtin's Nov 2025 expectation of more than $100 million of savings over a few years from the agentic AI platform and finance outsourcing combined, and CFO Celeste Mellet said in Jul 2026 that big benefits from technology are not yet reflected.

Use caseAreaStatusROI
Agent Assist for member advocates

Agent Assist summarizes member calls in real time, anticipates needs, surfaces benefit and eligibility details with citations, and drafts call summaries for member advocates, who stay accountable for every answer; Humana planned full rollout in 2026 across service centers with more than 20,000 advocates.

Member servicesIn production
Agent Assist for brokers and sales agents

Humana rolled out an AI tool it calls Agent Assist for brokers and sales agents in 2025 to simplify the Medicare plan sales process.

SalesIn production
Post-call documentation for care managers

A generative AI tool drafts post-call documentation for Humana's care management team, which keeps human oversight of every clinical decision; Jim Rechtin said in Oct 2024 that it halves the time spent on documentation.

Care managementIn production
AI-assisted prior authorization (Cohere Health)

Cohere Health's platform handles digital prior authorization requests for Humana's musculoskeletal, cardiovascular, surgical, diagnostic imaging and sleep services nationwide, using artificial intelligence, clinical expertise and real-time analytics.

Utilization managementIn production
Ambient clinical documentation (Abridge)

CenterWell Senior Primary Care uses Abridge ambient AI to draft visit notes, and reported a 54% drop in documentation cognitive load, a 64% drop in severe burnout and less after-hours charting after the AI and workflow changes (Aug 2025).

CenterWell Primary CareIn production
athenaOne records system with AI features

CenterWell moved about 350 CenterWell Senior Primary Care and Conviva Care Center sites and more than 1,300 clinicians onto athenahealth's athenaOne, a cloud-based records and practice management suite with AI capabilities, to cut clinicians' administrative work (Jan 2026).

CenterWell Primary CareIn production
AI-enabled finance, procurement and revenue cycle work (Genpact)

Genpact took over elements of Humana's finance work in 2025 and, according to Zacks in Mar 2026, expanded the partnership to support AI-enabled transformation in revenue cycle management, procurement and finance and accounting; Humana has not described the AI involved.

Corporate functionsAnnounced

Adoption

Humana has spread AI by function rather than through a company-wide employee tool. AI-assisted prior authorization through Cohere Health grew from a 12-state pilot in Jan 2021 to a national program across five service categories by Apr 2024; generative AI reached care managers by Oct 2024 and AI tools reached contact center representatives by Apr 2025; and member advocates began using Agent Assist in Oct 2025, with full rollout planned for 2026 across service centers with more than 20,000 advocates. In CenterWell's clinics, ambient AI documentation was in place by Aug 2025 and Jim Rechtin described it as rolling out in Nov 2025. Humana has published no weekly or daily AI user count and has not said whether its roughly 67,060 employees have a general-purpose AI assistant.

By the numbers

Member advocates in the Agent Assist rollout
20,000+
Use began Oct 2025; full rollout across service centers planned for 2026; no user count published (Feb 2026 release)
Expected savings, AI platform plus finance outsourcing
>$100M
Over a few years, Jim Rechtin on the Q3 2025 call (Nov 5, 2025); not split between AI and Genpact
Calls a year handled by member advocates
Up to 80M
Handled by the member advocates Agent Assist is built for (Feb 2026 release)
Employees
~67,060
Associates at Dec 31, 2025 (2025 Form 10-K)

Rollout, first pilot to today

  1. Oct 2019

    Humana named Microsoft its preferred cloud provider in a seven-year partnership to modernize its platforms and aggregate member data on Azure, with Azure AI for translation, voice and clinical tools.

    Microsoft

  2. Jan 2021

    Humana and Cohere Health began a 12-state pilot of digital prior authorization for musculoskeletal services, which went national in 2022.

    Cohere Health

  3. Dec 2021

    Humana's chief data and analytics officer said Humana had set out to move from mostly on-premises compute to the cloud and organized data science as a hub-and-spoke model with central platforms.

    InformationWeek

  4. Apr 2024

    Humana added diagnostic imaging and sleep services to Cohere Health's platform, after cardiovascular and surgical services in Jan 2023.

    Cohere Health

  5. Jul 2024

    Humana signed a multi-year agreement with Google Cloud to further modernize its cloud infrastructure and use Google Cloud's generative AI, building on work with Google Health on population health.

    Google Cloud

  6. Oct 2024

    Jim Rechtin said Humana was implementing more AI use cases and had launched a generative AI tool that halves the time care managers spend on post-call documentation.

    Q3 2024 earnings call

  7. Feb 2025

    Japan Mehta, formerly Citi's Chief Data Officer, became Humana's Chief Information Officer, with responsibility for digital, technology and data systems.

    Humana

  8. Apr 2025

    Humana said increased use of AI in its contact centers surfaces complex information for representatives and reduces call times.

    Q1 2025 earnings call

  9. Aug 2025

    CenterWell Senior Primary Care reported using Abridge ambient AI, alongside EHR workflow changes, to cut documentation cognitive load and physician burnout.

    AMA

  10. Oct 2025

    Humana member advocates began using Agent Assist, built on Humana's agentic AI platform and using Google Cloud's Gemini models.

    Google Cloud

  11. Jan 2026

    CenterWell completed its move to athenaOne across about 350 primary care sites and more than 1,300 clinicians.

    athenahealth via Business Wire

  12. Feb 2026

    Humana announced Agent Assist, with full rollout planned for 2026 across member service centers with more than 20,000 advocates.

    Humana

  13. May 2026

    Santosh Bardwaj joined Humana as senior vice president of enterprise AI.

    Becker's Payer Issues

  14. May 2026

    Bhagyesh Phanse joined Humana as senior vice president and chief data and analytics officer.

    CDO Magazine

Economics & controls

Spend and ROI

Technology budget

Humana does not publish a technology or AI budget. Humana reported 2025 revenue of $129.7 billion and operating costs of $15.45 billion, and guides to a 2026 consolidated operating cost ratio of 10.0%, plus or minus 25 basis points, down from an adjusted 11.5% in 2025, crediting revenue growth from new members spread over fixed costs, tactical cost cutting and transformation efforts. Humana said in Feb 2026 that a 2025 benefit set aside was reinvested in areas including administrative costs for technology.

What AI itself costs

Humana has not disclosed what it spends on AI. Humana management said on Jul 30, 2025 that an incremental investment of about $100 million in 2025 would go to member retention, AI, general operational efficiencies and Star Ratings work, on top of a couple of hundred million dollars noted in the first quarter.

Reported ROI

Humana's only AI-linked savings figure is a forward-looking one: Jim Rechtin said on Nov 5, 2025 that the newly introduced agentic AI platform and the Genpact finance outsourcing together should generate more than $100 million of savings over a few years while improving the quality of operations, without splitting the figure between the two. Rechtin said on Jul 29, 2026 that Humana's operating model efforts had yielded hundreds of millions of dollars in value so far in 2026, a figure that covers centralization, outsourcing and automation and is not credited to AI. CFO Celeste Mellet said on the same call that Humana is not yet reflecting big benefits from technology. Humana plans a virtual investor update on Dec 10, 2026.

Productivity markers

Humana reports AI gains as task and workforce measures rather than dollars: care managers spend about half as much time on post-call documentation (Oct 2024), contact center AI reduces call times (Apr 2025), and CenterWell Senior Primary Care reported a 54% drop in documentation cognitive load, a 64% drop in severe burnout and after-hours charting falling from 2.6 to 1.7 hours a day for some physicians (Aug 2025). Humana's consolidated operating cost ratio fell 120 basis points in the second quarter of 2026, which Humana credits to membership-driven revenue growth and cost programs, not to AI.

Headcount

Humana had about 67,060 associates at Dec 31, 2025, with voluntary turnover of 13.8% in 2025. Humana offered a voluntary early retirement package to some employees in Jul 2025, recorded $329 million of severance and other employee-related charges for workforce optimization in 2025 within a multi-year transformation of its cost structure, operating model and technology footprint, and increased outsourcing in finance and HR in 2026. Humana confirmed to Becker's on Oct 27, 2026 that it is eliminating some roles across several functions and locations while creating others, without giving a number. Humana's public statements have not tied any headcount change to AI.

Governance and risk

Board oversight

Humana's board has given its Audit Committee and Technology Committee joint oversight of IT controls, cybersecurity, business continuity and emerging technology such as artificial and augmented intelligence, according to the 2025 Form 10-K. Humana's Chief Information Security Officer reports to Chief Information Officer Japan Mehta, and the CISO and Humana's Enterprise Leadership Team report regularly to the Audit Committee, the Technology Committee and the full board on cybersecurity.

Human in the loop

Humana said in Jul 2024 that it keeps a human in the loop whenever AI is used in clinical decision making. Humana says Agent Assist operates with a human in the loop in every interaction, keeps member advocates accountable for decisions and what they tell members, shows citations and source references for its answers, and is continuously reviewed and monitored for compliance and performance. Humana ties Agent Assist to a long-standing Responsible AI commitment and operating principles that it has not published in detail (Feb 2026).

AI and coverage decisions in court

Barrows v. Humana, a class action filed on Dec 12, 2023 in the Western District of Kentucky, alleges that Humana used naviHealth's nH Predict AI model to cut off post-acute care for Medicare Advantage members. A federal judge let the breach of contract, implied covenant, unjust enrichment and common-law fraud claims proceed in Aug 2025 and dismissed four other claims. Humana answered in Sep 2025 that it did not use nH Predict to make adverse coverage determinations and that physician medical directors decide post-acute denials individually; the plaintiffs' class certification motion is due Nov 5, 2026.

Prior authorization commitments

Humana committed to decide at least 95% of complete electronic prior authorization requests within one business day from Jan 1, 2026, removed prior authorization for more than 340 codes across 2024 and 2025, and began publicly reporting prior authorization metrics, including approval and denial rates, in 2026. Humana's own Aug 2026 statement on prior authorization does not mention AI, while its vendor Cohere Health describes its platform as using AI and real-time analytics.

Disclosed risks

Humana's 2025 Form 10-K warns that changes to laws on AI and machine learning could force Humana to retrain models, delete data produced by AI or stop using it, that inaccurate or biased AI output could disrupt pricing, fraud detection and provider relationships and bring regulatory action or lawsuits, and that attackers are using AI, including generative AI, to make cyberattacks harder to detect.

Recent signals

  1. Oct 15, 2026

    The court in Barrows v. Humana, the case alleging Humana used the nH Predict AI model to deny post-acute care, issued a scheduling order, with the plaintiffs' class certification motion due Nov 5, 2026.

    Georgetown Health Care Litigation Tracker

  2. Aug 20, 2026

    Humana named Dr. Shantanu Nundy chief medical officer from Aug 31, 2026, reporting to Jim Rechtin, with a remit that includes Humana's use of AI; the post had been empty since Oct 2025.

    Humana

  3. Jul 29, 2026

    Humana elected Anthropic's Chief Commercial Officer Paul Smith and a former Aflac president and chief operating officer to its board, bringing it to 13 directors.

    Form 8-K

  4. Jul 29, 2026

    Jim Rechtin said Humana aims to lead on innovation through automation, AI and the best-performing vendors and that operating model efforts yielded hundreds of millions of dollars in value in the first half of 2026; CFO Celeste Mellet said big benefits from technology are not yet reflected.

    Q2 2026 earnings call transcript

  5. May 2026

    CDO Magazine reported that Humana named Bhagyesh Phanse, formerly Starbucks' chief data and analytics officer, as senior vice president and chief data and analytics officer, describing him as an advocate of a human-centric approach to AI.

    CDO Magazine

  6. May 2026

    Becker's reported, citing a May 15 LinkedIn post, that Humana hired Santosh Bardwaj, formerly of JPMorganChase, as senior vice president of enterprise AI.

    Becker's Payer Issues

  7. Mar 16, 2026

    Zacks reported that Genpact expanded its partnership with Humana to support AI-enabled work in revenue cycle management, procurement and finance and accounting.

    Zacks

  8. Feb 19, 2026

    Humana's 2025 Form 10-K reported about 67,060 associates and gave the board's Audit and Technology Committees joint oversight of emerging technology such as AI.

    2025 Form 10-K

  9. Feb 3, 2026

    Humana announced Agent Assist, built on its agentic AI platform with Google Cloud's Vertex AI and Gemini, in use since Oct 2025 and due for full rollout in 2026 across service centers where more than 20,000 advocates handle up to 80 million calls a year.

    Humana

  10. Jan 29, 2026

    athenahealth said CenterWell runs athenaOne across about 350 CenterWell Senior Primary Care and Conviva sites in 15 states, supporting more than 1,300 clinicians.

    Business Wire

  11. Nov 10, 2025

    Jim Rechtin told Fortune that Humana is rolling out ambient listening for its doctors and had just rolled out an Agent Assist tool for brokers and sales agents.

    Fortune

  12. Nov 5, 2025

    Jim Rechtin said Humana's newly introduced agentic AI platform and its finance outsourcing to Genpact should together save more than $100 million over a few years.

    Q3 2025 earnings call transcript

Quick answers

How does Humana deploy AI?
Humana deploys AI mostly in operations: its own agentic AI platform runs Agent Assist, which uses Google Cloud's Gemini models and is rolling out across service centers with more than 20,000 member advocates, while bought tools handle prior authorization (Cohere Health) and CenterWell clinical notes (Abridge). CIO Japan Mehta owns digital and AI. Humana has reported no return it credits to AI and no count of employees using its AI tools; its only savings figure, more than $100 million over a few years, also counts finance outsourcing.
What does Humana use AI for?
Humana has named a handful of AI use cases in production: Agent Assist for member advocates and for brokers and sales agents, generative AI for care management documentation, AI-assisted prior authorization through Cohere Health, and ambient clinical notes in CenterWell primary care. Humana has published no business return for any single use case. Humana's only AI-linked financial figure is Jim Rechtin's Nov 2025 expectation of more than $100 million of savings over a few years from the agentic AI platform and finance outsourcing combined, and CFO Celeste Mellet said in Jul 2026 that big benefits from technology are not yet reflected.
Who leads AI at Humana?
AI at Humana is led by Japan Mehta (Chief Information Officer); Santosh Bardwaj (Senior Vice President, Enterprise AI); Bhagyesh Phanse (Senior Vice President and Chief Data and Analytics Officer). Ownership of AI on the org chart: CIO Japan Mehta, reporting to the CEO; SVP of enterprise AI since May 2026.
What AI platform does Humana use?
Humana built its own agentic AI platform, which runs Agent Assist for member advocates with Google Cloud's models (Feb 2026), and buys AI tools for prior authorization (Cohere Health), clinical notes (Abridge) and its primary care records system (athenahealth).
Which AI models does Humana use?
Agent Assist uses Google Cloud's Vertex AI, Gemini and Gemini Enterprise for Customer Experience; Humana has named no other model provider, and its vendors bring their own models.
How many Humana employees use AI?
Humana member advocates began using Agent Assist in Oct 2025, with full rollout planned for 2026 across service centers where more than 20,000 advocates handle up to 80 million calls a year; Humana has not said how many use it.
How far has AI spread at Humana?
Humana has reported no business return it credits to AI. Its only savings figure, more than $100 million over a few years, is an expectation Jim Rechtin gave on Nov 5, 2025 for the agentic AI platform and finance outsourcing to Genpact combined; the hundreds of millions of dollars of operating model value he cited on Jul 29, 2026 covers centralization, outsourcing and automation with no AI share; and CFO Celeste Mellet said the same day that big benefits from technology are not yet reflected. Gains from single tools are task measures, such as care managers spending half as long on post-call documentation (Oct 2024), not cost or revenue returns. Humana has not reported a company-wide AI rollout with a user count either: member advocates have used Agent Assist since Oct 2025, with full rollout planned for 2026 across service centers of more than 20,000 advocates, but Humana has not said how many use it or named any AI tool for its roughly 67,060 employees as a whole. That leaves Humana at Experimenting although AI runs in production in call centers, care management, prior authorization and primary care; one cost, revenue or headcount return it credits to AI, or a company-wide user count with a named owner, would move it to Piloting.

Open questions

  • Does Humana give its roughly 67,060 employees a general-purpose AI assistant, and how many use AI tools each week?
  • How much of the expected savings of more than $100 million comes from the agentic AI platform rather than the Genpact finance outsourcing, and how much had been realized by late 2026?
  • What business return has Agent Assist delivered since rollout began in Oct 2025, in handle time, staffing or cost per call?
  • Which models run on Humana's agentic AI platform besides Google's Gemini, and does the Anthropic board appointment in Jul 2026 signal a model partnership?
  • Is Microsoft Azure still Humana's preferred cloud after the seven-year deal signed in Oct 2019, and where do Humana's other AI workloads run?
  • What do Santosh Bardwaj's enterprise AI team and Bhagyesh Phanse's data and analytics organization each own, how large are they, and whom do they report to?
  • What return have Humana's other deployed AI tools delivered, including care management documentation, Cohere Health prior authorization and CenterWell's ambient notes?
  • What share of Humana's prior authorization requests does Cohere Health's AI approve without clinician review, and does any AI tool contribute to denials?
  • Will Humana quantify AI savings at its Dec 10, 2026 investor update?
  • How will the Barrows v. Humana class certification ruling, and any finding on nH Predict, affect Humana's use of AI in coverage decisions?

Sources

Filings and investor materials

News

Data confidence

Confirmed
Stated in a primary or reputable public source.
Estimated
Derived or approximated from public reporting.
Unconfirmed
Reported, but not yet corroborated.

Humana profile · Enterprise AI diffusion report by Imagine · facts checked against their sources on Nov 1, 2026