Hill June 25, 2024
A bipartisan group of over 50 lawmakers in both the House and Senate is calling for increased oversight of artificial intelligence (AI) in Medicare Advantage (MA) coverage decisions.
In the letter addressed to Chiquita Brooks-LaSure, administrator of the Centers for Medicare and Medicaid Services (CMS), the group of lawmakers said that they are “concerned about MA plans’ use of prior authorization, specifically their ongoing use of artificial intelligence (AI) and algorithmic software to guide coverage decisions.”
“Plans continue to use AI tools to erroneously deny care and contradict provider assessment findings,” reads the letter, signed by several lawmakers including Rep. Judy Chu (D-Calif.), Rep. Jerry Nadler (D-N.Y.), Sen. Elizabeth Warren (D-Mass.) and Sen. Mike Braun (R-Ind.).
The lawmakers push for...