Fierce Healthcare June 27, 2024
Below is a roundup of payer-centric news headlines you may have missed during the month of June 2024.
Updated: Thursday, June 27 at 4:30 p.m.
MA plans’ use of AI under microscope by lawmakers, again
A bipartisan group of lawmakers is ramping up pressure on CMS to better protect consumers in Medicare Advantage.
“Plans continue to use AI tools to erroneously deny care and contradict provider assessment findings,” the letter reads. “We believe more detailed guidance is needed to protect access to care for Medicare beneficiaries and improve clarity for providers.”
The group suggested specifying the information required in denial, an approval process for the implementation of artificial intelligence tools and more transparency around when MA plans can use its...
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