Skilled Nursing News June 26, 2024
Over 50 lawmakers from both chambers of Congress are urging the Centers for Medicare and Medicaid Services (CMS) to increase scrutiny and regulation of artificial intelligence tools used by Medicare Advantage plans.
In a letter addressed to CMS Administrator Chiquita Brooks-LaSure, the legislators expressed deep concerns over the use of AI algorithms by MA plans to guide coverage decisions, especially for prior authorizations for medical treatments and rehabilitative care to sick Medicare Advantage patients.
The lawmakers highlighted instances where AI-driven tools allegedly led to denials of care, contradicting assessments made by health care providers, and noted a lawsuit filed against UnitedHealth Group for pressuring employees to use such tools in care denial.
Representative Judy Chu (D-Calif.), Representative Jerry Nadler (D-N.Y.),...
Today's Sponsors
Today's Sponsor