Item review is essential but expensive, possibly doubling the SME effort per item. This session explores how AI and automation can reduce costs without compromising quality. One speaker presents research comparing GPT-4.1 to human reviewers. Another speaker shares real-world examples of how AI tools are already streamlining item review in high-stakes programs. You’ll hear about practical challenges and solutions and learn how AI-powered feedback is speeding up review cycles and improving reliability. Whether you're evaluating AI tools or looking to boost your exam development efficiency, this session offers evidence, insights, and take-home ideas you can apply right away.