‘This Should Be a National Scandal’: Medicare Advantage Plans Using AI for Denials
Medicare Advantage plans rely increasingly upon artificial intelligence to determine—and often deny—payment for patient care,
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A group of Democratic U.S. lawmakers on Friday urged Medicare’s top official to strengthen oversight of AI and algorithmic tools used to make coverage determinations. “In recent years, problems posed by prior authorization have been exacerbated by MA plans’ increasing use of AI or algorithmic software to assist in their …
