Becker's Healthcare November 6, 2023
A group of lawmakers is asking CMS to increase its oversight of artificial intelligence used in Medicare Advantage prior authorization.
Thirty U.S. representatives wrote to CMS Administrator Chiquita Brooks-LaSure, asking the agency to require MA plans to report prior authorization data, including reasons for denials.
The lawmakers also asked the agency to:
- Compare guidance generated by AI tools to actual Medicare Advantage coverage decisions.
- Assess if AI algorithms used in prior authorization are self-correcting.
- Require plans to...
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