Politico December 3, 2024
By Chelsea Cirruzzo and Ben Leonard

Driving the day

GOING NATIONAL? Capitol Hill has its eye on California’s new law that regulates how artificial intelligence is used by insurers in granting prior authorization for treatments, Chelsea reports.

Rep. Ami Bera (D-Calif.) told Pulse the House Task Force on AI he sits on has discussed the law, along with doctors who’ve met with the group.

What the California law does: Starting in January, it will require insurers to oversee prior authorization requests processed using AI.

Why it matters: Health plans have used AI in recent years to streamline processing claims and prior authorization requests, but concerns have arisen about wrongful denials. Last year, insurers like United Healthcare and Cigna were hit by class-action lawsuits claiming they were...

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Topics: AI (Artificial Intelligence), Govt Agencies, Insurance, Payer, Physician, Provider, States, Technology
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