Skilled Nursing News March 13, 2023
Over-reliance on artificial intelligence is compromising post-acute care for nursing home residents on Medicare Advantage plans.
This view of the problematic use of algorithms for prior authorizations – and denial based on incorrect assessment of patient needs – is at the center of reporting and analysis published in the health, medicine and life sciences publication, STAT.
Skilled Nursing News also recently examined the issue of high administrative burdens from Medicare Advantage plans, as the federal government pushes to get more beneficiaries on managed care. And SNN also recently highlighted moves by the Centers for Medicare & Medicaid Services (CMS) to ensure that MA beneficiaries are not inappropriately denied coverage for post-acute care in SNFs.
The STAT investigation found artificial intelligence...
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