Trust at Machine Speed: Governing Identity in the Age of Agentic AI

Russ Branzell, President and CEO of CHIME, sits down with Fran Rosch, President and CEO of Imprivata, to examine how agentic AI challenges long-standing assumptions about identity, access, authority, and accountability and what happens to healthcare identity and access management when the user is no longer human. As AI agents gain the ability to reason, delegate, and act across systems, traditional security controls may no longer be enough. Their conversation explores what healthcare leaders must reconsider about identity lineage, Zero Trust, human oversight, and governance as organizations prepare to secure a growing population of autonomous digital agents.

Key Takeaways:

• Which assumptions behind traditional identity governance are challenged when AI agents can reason and act independently.

• How organizations can preserve identity lineage and accountability as AI agents delegate work across systems.

• How Zero Trust and authorization models may need to evolve for dynamic, agentic environments.

• Why governing an agent's access may be fundamentally different from governing its intent and actions.

• Where human authority should remain nondelegable as healthcare increasingly operates at machine speed.